1. Home
  2. Directory
  3. Indiana
  4. Salem
  5. Nurse Practitioner
  6. NPI Profile

KAREN J. SMEDLEY FNP
NPI 1881039717
Nurse Practitioner - Family in Salem, IN

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
101 CONNIE AVE, SALEM, IN 47167(812) 404-4235 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2024, Sep 22, 2022, Aug 10, 2022 and 1 more (4 updates tracked since 2016).

About Karen J. Smedley Fnp NPPES

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

KAREN J. SMEDLEY FNP (NPI 1881039717) is an individual family provider in Salem, Indiana, licensed in Indiana (71004559A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881039717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN J. SMEDLEYCredential: FNP
Location Address101 CONNIE AVESalem, IN 47167-2305
Mailing Address101 Connie AveSalem, IN 47167-2305 · (812) 404-4235 · Fax (812) 404-4236
Phone(812) 404-4235
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1881039717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71004559A
101 CONNIE AVE, Salem, IN 47167
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen J. Smedley Fnp 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 ID2062648165
PECOS Enrollment IDI20131120000471
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Smedley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hometown Healthcare Family Medicine And Urgent Care
Same address
Family
101 CONNIE AVE
Salem, IN 47167
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1881474385 (812) 404-4235
Grace Divine, LLC
90 mi
Family Medicine
8900 KEYSTONE XING STE 540
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group
NPI 1548596372 (317) 429-0120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
65 services28 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
45 services43 patients
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.
20 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Ascension St Vincent Salem

Critical Access Hospitals · Salem, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151314
Location911 N Shelby StSalem, IN 47167 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47167 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
63%176 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
49%270 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
68%314 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 61% · 143 patients
Patients 4MonthsOfStart: 38% · 139 patients
51%141 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
43%122 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%8,216 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
73%414 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%152 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%817 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%746 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%561 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%817 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
95%817 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%817 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims41 services$6.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers23 claims23 services$12.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers49 claims49 services$62.76 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$30.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LINDSEY N BROUGH FNP-C
Nurse Practitioner (Family)
101 CONNIE AVE
SALEM, IN 47167
Washington County (812) 404-4235
JOHN E HATEGAN, M.D. P C
Family Medicine
101 CONNIE AVE
SALEM, IN 47167
Washington County (812) 883-9121
HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE
Nurse Practitioner (Family)
101 CONNIE AVE
SALEM, IN 47167
Washington County (812) 404-4235
HOOSIER TRANSPORT SERVICE INC
Non-emergency Medical Transport (VAN)
101 CONNIE AVE
SALEM, IN 47167
Washington County (812) 883-9256

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 Smedley's NPI number?

The NPI number for Karen Smedley is 1881039717. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Karen Smedley located?

Karen Smedley practices at 101 Connie Ave, Salem, IN 47167. The listed phone number is (812) 404-4235.

What is Karen Smedley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Smedley enrolled in Medicare?

Yes. Karen Smedley 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.

Which organizations bill Medicare for Karen Smedley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Smedley reassigns Medicare benefits to 2 organizations: Hometown Healthcare Family Medicine And Urgent Care (Salem, IN) and Grace Divine, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Smedley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Smedley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Karen Smedley 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 Smedley affiliated with any hospitals?

According to CMS data, Karen Smedley is affiliated with Schneck Medical Center and Ascension St Vincent Salem.

When was this NPI record last updated?

The NPPES record for Karen Smedley was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.