Kristy Michelle Smith, FNP-BC
NPI 1427320472ActiveIndividual· Nurse Practitioner, Family· Harriman, TN
Nurse Practitioner, Family (FNP-BC) with Local Care PLLC, practicing in Harriman, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $332,815 for 3,340 claims, against $4,361 paid for services in 2024. Novo Nordisk Inc was the largest of 7 companies reporting payments in 2025, $218.38 in all, mostly food and beverage.
Overview
| NPI | 1427320472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Feb 7, 2012 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN0000016038 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 122 across 16 procedure codes |
| Paid by Medicare | $4,361 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,340 · 6,825 30-day fills |
|---|---|
| Patients | 302 |
| Total drug cost | $332,815 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Local Care PLLCHarriman, TN · 3 clinicians
Industry payments (Open Payments)
- 2025$218.38 · 10 payments from 7 companies
- 2024$417.67 · 23 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $50.05 | 2 |
| Astrazeneca Pharmaceuticals LP | $39.07 | 2 |
| Abbvie Inc. | $36.67 | 2 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $28.41 | 1 |
| Axsome Therapeutics, Inc. | $24.42 | 1 |
What the 2025 payments were for
- Food and Beverage$218.38 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 family nurse practitioners in Harriman · All family nurse practitioners in Tennessee