KARYN GUAJARDO (PA-C) – Physician Assistant, NPI 1174388656

KARYN GUAJARDO (PA-C) is a healthcare provider. based in Abilene, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17628 (TX). The NPI Number for KARYN GUAJARDO (PA-C) is 1174388656

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KARYN GUAJARDO (PA-C)
NPI
1174388656
Phone
(832) 585-9260
Address
2200 HICKORY ST
Enumeration Date
14 February 2024
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063522731
Graduation Year
2023 (3 years ago)
PAC ID
4385186303
Group Practice PAC ID
9537233978
Professional Enrollment ID
I20240605004084
Address ID
TX791064137AM9XXXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KARYN GUAJARDO (PA-C)

  • 2200 HICKORY ST

    ABILENE, TX 796012345

    Phone: (832) 585-9260

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240605004084IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537233978View full group profile
NameSpecialtyState
-TX
-MA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KARYN GUAJARDO (PA-C)?
KARYN GUAJARDO (PA-C) — NPI 1174388656 — is the standard way to identify this listing.
Is KARYN GUAJARDO (PA-C) listed as active for patients and plans?
The listing shows KARYN GUAJARDO (PA-C) as active in the NPI system.
What is KARYN GUAJARDO (PA-C)'s specialty?
The listing groups KARYN GUAJARDO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KARYN GUAJARDO (PA-C) on a map?
Expect Abilene, Texas as a primary anchor for KARYN GUAJARDO (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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