KAREN M SMITH NP
NPI 1003881194
Nurse Practitioner in Newark, DE

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
4765 OGLETOWN STANTON RD, SUITE 1E20, NEWARK, DE 19713(302) 733-5700(302) 733-5775 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen M Smith Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN M SMITH NP (NPI 1003881194) is an individual nurse practitioner in Newark, Delaware, licensed in Delaware (LB0000145) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1003881194
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN M SMITHCredential: NP
Location Address4765 OGLETOWN STANTON RD, SUITE 1E20Newark, DE 19713-8003
Mailing Address4765 Ogletown Stanton Rd, Suite 1e20Newark, DE 19713-8003 · (302) 733-5700 · Fax (302) 733-5775
Fax(302) 733-5775
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 1, 2010
NPI 1003881194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in DE · LB0000145
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4765 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 2

Medicare PIN008991C00DE
Medicare UPINP50032DE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen M Smith Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416007943
PECOS Enrollment IDI20090604000166
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services192 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
113 services95 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
62 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
4765 OGLETOWN STANTON RD, SUITE 1E20
NEWARK, DE 19713
Nurse Practitioner (Critical Care Medicine)
4765 OGLETOWN STANTON RD, SUITE 1E20
NEWARK, DE 19713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Smith's NPI number?

The NPI number for Karen Smith is 1003881194. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Karen Smith located?

Karen Smith practices at 4765 Ogletown Stanton Rd Suite 1e20, Newark, DE 19713. The listed phone number is (302) 733-5700.

What is Karen Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Smith enrolled in Medicare?

Yes. Karen Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Smith accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Karen Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on July 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.