MS. KAREN J SMITH FNP
NPI 1942635396
Nurse Practitioner - Family in Urbana, OH
About Ms. Karen J Smith Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAREN J SMITH FNP (NPI 1942635396) is an individual family provider in Urbana, Ohio, licensed in Ohio (APRN.CNP.18281) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Ms. Karen J Smith 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karen Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, OH 43078
- Reassigned Medicare billing, Ohio enrollment
- 37 clinicians in this Medicare group
Urbana, OH 43078
- Reassigned Medicare billing, Ohio enrollment
- 14 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 215 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
URBANA, OH 43078
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 1942635396. It was assigned to this individual provider in the NPPES registry on September 4, 2013.
Where is Karen Smith located?
Karen Smith practices at 900 Scioto St Ste 4, Urbana, OH 43078. The listed phone number is (937) 653-4666.
What is Karen Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organizations bill Medicare for Karen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Smith reassigns Medicare benefits to 3 organizations: Mercy Health Physicians Springfield Primary Care LLC (Urbana, OH), Community Mercy Health Partners (Urbana, OH) and Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH). 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Smith accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers 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 October 10, 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.
# Ms. Karen J Smith, FNP · NPI 1942635396
Family physician in Urbana, Ohio. Individual provider, active in the CMS NPPES registry since September 4, 2013.
## Identity
- **NPI:** 1942635396 (Entity type: Individual)
- **Enumerated:** September 4, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.18281 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 SCIOTO ST STE 4, Urbana, OH 43078-2251
- **Phone:** (937) 653-4666 · **Fax:** (937) 653-3469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Health Physicians Springfield Primary Care LLC (NPI 1427679067, Urbana, OH); Community Mercy Health Partners (NPI 1063066066, Urbana, OH); Mercy Health Physicians Springfield Specialty Care LLC (NPI 1790308104, Springfield, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942635396) · Data from the CMS NPPES public registry.