Karen M. Smith, NP
NPI 1003881194ActiveIndividual· Nurse Practitioner· Newark, DE
Nurse Practitioner (NP) with Vascular Specialists PA, practicing in Newark, Delaware. Their prescriptions cost Medicare Part D more than their services did: $72,176 for 394 claims, against $25,153 paid for services in 2024. Veryan Medical Incorporated was the largest of 3 companies reporting payments in 2025, $91.97 in all, mostly food and beverage.
Overview
| NPI | 1003881194 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Jul 1, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | LB0000145 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 348 |
|---|---|
| Services billed | 483 across 7 procedure codes |
| Paid by Medicare | $25,153 |
Part D prescriptions in 2024
| Prescriptions (claims) | 394 · 859 30-day fills |
|---|---|
| Patients | 169 |
| Total drug cost | $72,176 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Vascular Specialists PAWilmington, DE · 4 clinicians
Industry payments (Open Payments)
- 2025$91.97 · 4 payments from 3 companies
- 2024$174.46 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Veryan Medical Incorporated | $58.15 | 2 |
| Angiodynamics, Inc. | $17.65 | 1 |
| Cashflow Solutions, LLC | $16.17 | 1 |
What the 2025 payments were for
- Food and Beverage$91.97 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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