Individual provider Active NPI

Jacqueline D Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1386089233
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN595116 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 812-7687
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN595116 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-7687

Other practice location 1

1855 Powder Mill Rd Ste 210
York, PA 17402-4723
Phone (717) 747-8306

Other practice location 2

1861 Powder Mill Rd
York, PA 17402-4723
Phone (717) 718-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000268 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971745449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Partners LLCGroup PAC ID 9830472323, 6 clinicians

Practice addresses (Care Compare)

825 5TH Ave
Suite 102
Chambersburg, PA 17201-4214
Phone (717) 262-9700

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN595116PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Oss Orthopaedic Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2022 Accepting new patients
West Shore Anesthesia Associates, LTD CurrentSince Sep 30, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Oss Orthopaedic Hospital, LLC Current Accepting new patients
Anesthesia Care Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 2, 2017 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Oct 19, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 2, 2017 Accepting new patients
Lanaster General Hospital Nurse Anesthetist, Certified Registered PastSince Sep 1, 2020 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

825 5th Ave
Ste 102
Chambersburg, PA 17201
Phone (717) 262-9700

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

5001 Perkiomen Ave
Ste 100
Reading, PA 19606
Phone (610) 373-2300

1075 Berkshire Blvd
Wyomissing, PA 19610
Phone (610) 374-4093

1855 Powder Mill Rd
#102
York, PA 17402
Phone (717) 544-3197

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1855 Powder Mill Rd
Ste 210
York, PA 17402
Phone (717) 747-8306

1855 Powder Mill Rd
York, PA 17402

Organizations & group practices 12

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1386089233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-7687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Powder Mill Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-747-8306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1861 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-718-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN595116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.