KIMBERLY ANN GUAJARDO (APRN, FNP-C) – Nurse Practitioner, NPI 1639704257
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KIMBERLY ANN GUAJARDO (APRN, FNP-C)
12702 N Ih 35
Live Oak, TX 782332609
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Location
1100 McCullough Ave
San Antonio, TX 782124813
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Location
PO BOX 4585, MSC#700
HOUSTON, TX 772104585
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Mailing
12709 TOEPPERWEIN RD STE 101
LIVE OAK, TX 782333259
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Nalu Medical, Inc. ($30).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $30 |
| Smith+Nephew, Inc. | $20 |
| PFIZER INC. | $17 |
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: 2020-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200629002036 | I | Nurse Practitioner | TX | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 66 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 78233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | WA | |
| N E U R O S U R G E R Y | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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