JACQUELINE J SMITH (M.D.) – Pulmonary Disease Physician, NPI 1194704312

JACQUELINE J SMITH (M.D.) is a healthcare provider. based in Liberty, Missouri. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. MD118130 (MO). The NPI Number for JACQUELINE J SMITH (M.D.) is 1194704312

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE J SMITH (M.D.)
NPI
1194704312
Phone
(816) 781-8445
Address
2521 GLENN HENDREN DR
Enumeration Date
16 January 2006
Last Update Date
21 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9133727811
Graduation Year
1993 (33 years ago)
PAC ID
7012076821
Group Practice PAC ID
9335329556
Professional Enrollment ID
I20210303003078
Address ID
KS662102804OV11325BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for JACQUELINE J SMITH (M.D.)

  • 2521, Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068, United States

    SUITE 402

    LIBERTY, MO 640683388

    Phone: (816) 781-8445

    Fax: (816) 781-8413

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081110000072IInternal MedicineMOTBD
I20210303003078IInternal MedicineKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes493167$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes166159$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10188$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6962$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2620$0
View full utilization report →

Insurance plans in this area (ZIP 64068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335329556View full group profile

Reviews

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Frequently asked questions

What is JACQUELINE J SMITH (M.D.)'s NPI number?
JACQUELINE J SMITH (M.D.)'s NPI is 1194704312 — the number used across U.S. healthcare to identify this provider.
Is JACQUELINE J SMITH (M.D.) shown as active in public data?
Registry records indicate JACQUELINE J SMITH (M.D.) maintains an active NPI.
What expertise is attributed to JACQUELINE J SMITH (M.D.)?
JACQUELINE J SMITH (M.D.)'s specialty line reads Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is JACQUELINE J SMITH (M.D.) registered?
Use Liberty, Missouri as the headline location for JACQUELINE J SMITH (M.D.) here.
Can I trust this NPI listing for JACQUELINE J SMITH (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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