Jacob Smith, CRNA
NPI 1336004654 · Certified Registered Nurse Anesthetist · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Smith, CRNA is a Certified Registered Nurse Anesthetist provider in Coeur D Alene, ID (NPI 1336004654).
Provider details
- NPI number
- 1336004654
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9471892 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2026-01-17
- Certified
- 2026-01-17
Frequently asked questions
- What is Jacob Smith's NPI number?
- Jacob Smith's National Provider Identifier (NPI) is 1336004654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Smith's specialty?
- Jacob Smith is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Smith located?
- Jacob Smith's practice location on file with NPPES is 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051.
- What is Jacob Smith's phone number?
- The practice phone number listed in the NPPES registry for Jacob Smith is (208) 625-4000.
- Does Jacob Smith accept Medicare?
- Jacob Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Smith's NPI active?
- Yes — Jacob Smith's NPI (1336004654) is active in the NPPES registry as of the last update on 2026-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.