Individual provider Active NPI

Jamie Ann Smith

  • Otolaryngology Physician
  • Morrison, CO
National Provider Identifier
1164244562
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
PA.0009564 Issued in CO
Practice address
5425 Desert Fox TRL
Morrison, CO 80465
Phone
(303) 999-5101
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X PA.0009564 CO Primary

Addresses

Primary practice location

5425 Desert Fox TRL
Morrison, CO 80465

Mailing address

255 Union Blvd Ste 350
Lakewood, CO 80228-1877
Phone (303) 238-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320002559 CO Practitioner - Physician Assistant 1153805700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rocky Vista University College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Union Blvd
Suite 220
Lakewood, CO 80228-1833
Phone (303) 238-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.0009564COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erik W. Kreutzer, M.D., P.C., Dba Colorado Ear, Nose & Throat Group Otolaryngology CurrentSince Feb 1, 2026 Accepting new patients

Locations

255 Union Blvd
Ste 220
Lakewood, CO 80228
Phone (303) 238-1366

255 Union Blvd
Ste 350
Lakewood, CO 80228
Phone (303) 456-8868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1164244562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281877",
            "telephone_number": "303-238-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 DESERT FOX TRL",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "80465",
            "telephone_number": "303-999-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "PA.0009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, CO

Sources for this page

Verify at the official NPI Registry.