Individual provider Active NPI

Karen Sue Smith, PA-C

  • Medical Physician Assistant
  • Marysville, OH
National Provider Identifier
1053387464
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2745 Issued in OH
Practice address
140 Colemans Xing Ste 200
Marysville, OH 43040-7195
Phone
(937) 578-4300
Fax
(937) 578-4311
NPI assigned
Feb 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2745 OH Primary

Addresses

Primary practice location

140 Colemans Xing Ste 200
Marysville, OH 43040-7195

Mailing address

140 Colemans Xing Ste 200
Marysville, OH 43040-7195
Phone (937) 578-4300

Other practice location 1

1958 E US Highway 36 Ste D
Urbana, OH 43078-9799
Phone (937) 578-4300

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000039 OH Practitioner - Physician Assistant 8527079441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Colemans Xing
Marysville, OH 43040-7080

1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2745OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Dec 12, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

140 Colemans Crossing Blvd
Ste 200
Marysville, OH 43040
Phone (937) 578-2207

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: ksmith8173@direct.osumc.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053387464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLEMANS XING STE 200",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407195",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLEMANS XING STE 200",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407195",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 E US Highway 36 Ste D",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430789799",
            "country_code": "US",
            "telephone_number": "937-578-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.