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MS. KAREN J SMITH FNP
NPI 1942635396
Nurse Practitioner - Family in Urbana, OH

Active since September 04, 2013PECOS EnrolledAccepts Medicare Assignment
900 SCIOTO ST STE 4, URBANA, OH 43078(937) 653-4666(937) 653-3469 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Oct 18, 2021, Jun 30, 2020 (3 updates tracked since 2020).

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, is affiliated with Mercy Health - West Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942635396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KAREN J SMITHCredential: FNP
Location Address900 SCIOTO ST STE 4Urbana, OH 43078-2251
Mailing Address900 Scioto St Ste 4Urbana, OH 43078-2251 · (937) 653-4666 · Fax (937) 653-3469
Phone(937) 653-4666
Fax(937) 653-3469
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 4, 2013
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1942635396 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
Licenses✔ Licensed in OH · APRN.CNP.18281✔ Licensed in MT · NUR-RN-LIC-70254
900 SCIOTO ST STE 4, Urbana, OH 43078
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11768 W Park SqXenia, OH 45385-2667 · Phone (937) 372-3054 · Fax (937) 523-9809
Location 2106 Ridgewater Dr Ste APolson, MT 59860-8977 · Phone (406) 883-3200 · Fax (406) 883-9483

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

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.

PECOS PAC ID6709009384
PECOS Enrollment IDI20151109001823
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.

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

MERCY HEALTH PHYSICIANS SPRINGFIELD PRIMARY CARE LLC
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (888) 696-3541
JESSICA EL-ASMAR MD
Internal Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MRS. KAREN STAATS FNP-C
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. ANN-MARIE DORN BROWNE MD
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MRS. HILLARY DIANE PULLINS FNP-C
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. JOAQUIN LLADO-FRAZER M.D.
Internal Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666

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.

What insurance does Karen Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare 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 Mercy Health - West Hospital.

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 21 months 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.