Kristy Marie Smith, APRN
NPI 1427600790ActiveIndividual· Nurse Practitioner, Family· Middlesboro, KY
Nurse Practitioner, Family (APRN) with Appalachian Regional Healthcare Inc and 1 other group, practicing in Middlesboro, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $940,816 for 324 claims, against $8,047 paid for services in 2024. Stemline Therapeutics Inc. was the largest of 2 companies reporting payments in 2025, $27.84 in all, mostly food and beverage. Lists Harlan Arh Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1427600790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 16, 2019 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3013553 | KY |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 252 across 10 procedure codes |
| Paid by Medicare | $8,047 |
Part D prescriptions in 2024
| Prescriptions (claims) | 324 · 414 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $940,816 |
| Generic share | 63% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Appalachian Regional Healthcare IncMiddlesboro, KY · 318 clinicians
- Arh Mary Breckinridge Health Services, Inc.Mooresville, NC · 100 clinicians
Hospital affiliations
- Harlan Arh HospitalHarlan, KY
- Middlesboro Arh HospitalMiddlesboro, KY
Industry payments (Open Payments)
- 2025$27.84 · 2 payments from 2 companies
- 2024$23.87 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Stemline Therapeutics Inc. | $14.22 | 1 |
| Agios Pharmaceuticals, Inc. | $13.62 | 1 |
What the 2025 payments were for
- Food and Beverage$27.84 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 family nurse practitioners in Middlesboro · All family nurse practitioners in Kentucky