KAREN ELIZABETH SMITH NP
NPI 1245813385
Nurse Practitioner in Tomah, WI

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
501 GOPHER DR, TOMAH, WI 54660(608) 377-8213 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2021, May 5, 2021 (2 updates tracked since 2021).

About Karen Elizabeth Smith Np NPPES

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

KAREN ELIZABETH SMITH NP (NPI 1245813385) is an individual nurse practitioner in Tomah, Wisconsin, licensed in Wisconsin (10995-33) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245813385
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN ELIZABETH SMITHCredential: NP
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address15106 Hennepin RdTomah, WI 54660-6874
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateJune 27, 20212 updates tracked since enumeration
NPPES CertifiedJune 27, 2021
NPI 1245813385 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 WI · 10995-33
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.
501 GOPHER DR, Tomah, WI 54660

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 Elizabeth 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 ID4082016415
PECOS Enrollment IDI20210708000555
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.

Hospital Affiliations CMS Care Compare

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

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Occupational Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Physical Therapist
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner
501 GOPHER DR
TOMAH, WI 54660
Non-Pharmacy Dispensing Site
501 GOPHER DR
TOMAH, WI 54660
Speech-Language Pathologist
501 GOPHER DR
TOMAH, WI 54660

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 1245813385. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Karen Smith located?

Karen Smith practices at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 377-8213.

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 Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Quartz 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 Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.