Karen Lee Smith, CRNP
NPI 1285186809ActiveIndividual· Nurse Practitioner, Family· Springfield, PA
Nurse Practitioner, Family (CRNP) with Main Line Healthcare, practicing in Springfield, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $886,230 for 7,470 claims, against $32,869 paid for services in 2024. Novo Nordisk Inc was the largest of 20 companies reporting payments in 2025, $2,028 in all, mostly food and beverage. Lists Bryn Mawr Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1285186809 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Oct 31, 2016 |
| Last updated in NPPES | Nov 11, 2025 |
| Certified by provider | Nov 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP017018 | PA |
| Nurse Practitioner | 363L00000X | SP017018 | PA |
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 | Possible (name) | Precluded · since Dec 20, 2009 · PA |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 645 across 32 procedure codes |
| Paid by Medicare | $32,869 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,470 · 11,537 30-day fills |
|---|---|
| Patients | 368 |
| Total drug cost | $886,230 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Main Line HealthcareWynewood, PA · 1,184 clinicians
Hospital affiliations
- Bryn Mawr HospitalBryn Mawr, PA
- Main Line Hospital LankenauWynnewood, PA
- Riddle Memorial HospitalMedia, PA
Other facilities
- Main Line Health Home Care & Hospice - Home HealthHome health agency · Radnor, PA
Industry payments (Open Payments)
- 2025$2,028 · 53 payments from 20 companies
- 2024$4,047 · 142 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $322.65 | 7 |
| Gilead Sciences, Inc. | $237.45 | 2 |
| Neurocrine Biosciences, Inc. | $190.19 | 3 |
| Teva Pharmaceuticals USA, Inc. | $186.81 | 4 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $174.17 | 4 |
What the 2025 payments were for
- Food and Beverage$2,028 · 53 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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