2026 NPPES data Nurse Practitioner NPI 1538150974 FNP
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KAREN SMITH, FNP

Nurse Practitioner in TERRE HAUTE, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
4K
Medicare Part D claims · 566 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.012/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$368.37
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAREN SMITH, FNP reported a CMS MIPS final score of 95.012/100 — above the 83.1 national average — and filed 4,444 Medicare Part D claims in 2023.

95.012/100
MIPS score · +12 vs avg
4K
Part D claims, 2023
49%
generic prescribing
$368.37
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KAREN SMITH, FNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about KAREN SMITH, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 11/03/2005

NPI 1538150974

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

4,444 310% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

95.012/100 11.912000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Indiana

How Nurse Practitioner compares to other specialties among Indiana providers

Indiana providers

Nurse Practitioner share within Indiana

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Indiana

Medicare quality performance — MIPS

KAREN SMITH, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.012/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 95.012/100 vs national avg 83.1

0%100%National avg83%95%
MIPS final score (Nurse Practitioner) — 95.012/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KAREN SMITH, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 2723 S 7TH ST, TERRE HAUTE, IN, 47802, with a listed phone of (812) 238-1730. NPI 1538150974 was issued on 11/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,444 prescription claims written by this provider, covering 566 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 51% brand-name and 49% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.012/100 for the 2023 performance year (Quality 80.0239), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2723 S 7TH ST
TERRE HAUTE, IN 47802

Provider Details

NPI 1538150974
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 11/03/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.012
Final Score
Avg: 83.1
80.0239
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KAREN SMITH, FNP. Source: openpaymentsdata.cms.gov.

Total received

$368

Largest payer

Boehringer Ingelheim Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

KAREN SMITH, FNP — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 4,444 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,444
Total Claims
$2.1M
Total Drug Cost
566
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,939
Total Day Supply
233,811
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$2.1M
Generic Drug Cost
$41K

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.73
Gender Split
56% female / 44% male
Age Distribution
<65: 104, 65-74: 296, 75-84: 140, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What KAREN SMITH, FNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
298
Metformin Hcl Er
Metformin Hcl
295
Metformin Hcl
273
Pioglitazone Hcl
262
Synthroid
Levothyroxine Sodium
227
Liothyronine Sodium
202
Ozempic
Semaglutide
170
Novolog Flexpen
Insulin Aspart
147
Jardiance
Empagliflozin
129
Humalog Kwikpen U-100
Insulin Lispro
126

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nurse Practitioner Overview

How KAREN SMITH, FNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

KAREN SMITH, FNP's 4,444 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as SMITH.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN SMITH, FNP's specialty?
KAREN SMITH, FNP specializes in Nurse Practitioner and practices in TERRE HAUTE, Indiana. Credentials: FNP.
How much does KAREN SMITH, FNP prescribe under Medicare Part D?
In 2023, KAREN SMITH, FNP wrote 4,444 Medicare Part D claims totaling $2.1M in drug costs for 566 beneficiaries.
What is KAREN SMITH, FNP's Medicare quality score?
KAREN SMITH, FNP has a CMS MIPS Final Score of 95.012/100 (Quality: 80.0239). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN SMITH, FNP located?
KAREN SMITH, FNP is located at 2723 S 7TH ST, TERRE HAUTE, IN, 47802. Phone: (812) 238-1730.
What is KAREN SMITH, FNP's NPI number?
KAREN SMITH, FNP's National Provider Identifier (NPI) is 1538150974, issued on 11/03/2005.
Does KAREN SMITH, FNP prescribe more brand-name or generic drugs?
KAREN SMITH, FNP's prescribing is 51% brand-name and 49% generic drugs by claim count, with $2.1M in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does KAREN SMITH, FNP prescribe most often?
Based on 2023 Medicare Part D data, KAREN SMITH, FNP's most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl Er, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN SMITH, FNP accept Medicare?
KAREN SMITH, FNP appears in CMS Medicare data with 4,444 Part D claims and 566 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN SMITH, FNP's credentials?
KAREN SMITH, FNP's NPI is 1538150974 with credentials FNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology