Karen R. Smith, DNP
NPI 1093776866ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Charleston, SC
Nurse Practitioner, Psych/Mental Health (DNP) with Palmetto Primary Care Physicians LLC, practicing in Charleston, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $69,901 for 1,026 claims, against $12,711 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 13 companies reporting payments in 2025, $784.58 in all, mostly food and beverage. Lists Trident Medical Center as a hospital affiliation.
Overview
| NPI | 1093776866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Mar 31, 2006 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APN.19988 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 254 across 29 procedure codes |
| Paid by Medicare | $12,711 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,026 · 2,169 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $69,901 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Palmetto Primary Care Physicians LLCSaint George, SC · 144 clinicians
Hospital affiliation
- Trident Medical CenterCharleston, SC
Industry payments (Open Payments)
- 2025$784.58 · 30 payments from 13 companies
- 2024$999.85 · 31 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $250.21 | 6 |
| Vanda Pharmaceuticals Inc. | $106.43 | 4 |
| Abbvie Inc. | $83.88 | 5 |
| Lilly USA, LLC | $70.63 | 3 |
| Sage Therapeutics, LLC | $66.54 | 2 |
What the 2025 payments were for
- Food and Beverage$784.58 · 30 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatric nurse practitioners in Charleston
- 1265523724
- 1407194129
- 1538695846
- 1558593392
- 1699134221
- 1730293747
- 1902526353
- 1083323851
- 1295974616
- 1548981970
- 1558008854
- 1619663572
All 79 psychiatric nurse practitioners in Charleston · All psychiatric nurse practitioners in South Carolina