KAREN R SMITH DNP
NPI 1093776866
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.59/100
CMS Quality Rating
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 847-4372(843) 847-5187 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, Mar 28, 2018 (2 updates tracked since 2018).

About Karen R Smith Dnp NPPES

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

KAREN R SMITH DNP (NPI 1093776866) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (APN.19988) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093776866
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN R SMITHCredential: DNP
Location Address9330 MEDICAL PLAZA DRCharleston, SC 29406-9104
Mailing Address9330 Medical Plaza DrCharleston, SC 29406-9104 · (843) 847-4372
Fax(843) 847-5187
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1093776866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SC · APN.19988
9330 MEDICAL PLAZA DR, Charleston, SC 29406

Other Identifiers 1

MedicaidNP4115SC

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 R Smith Dnp 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 ID244355170
PECOS Enrollment IDI20160913001938
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.18
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Internal Medicine (Critical Care Medicine)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Emergency Medicine
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Surgery
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Physical Therapist
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Radiology (Radiation Oncology)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

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 1093776866. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Karen Smith located?

Karen Smith practices at 9330 Medical Plaza Dr, Charleston, SC 29406. The listed phone number is (843) 847-4372.

What is Karen Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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 BlueCross BlueShield of South Carolina and Molina Healthcare 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.

Is Karen Smith affiliated with any hospitals?

According to CMS data, Karen Smith is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.