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MARLENE GUERRERO APRN, NP-C
NPI 1053935817
Nurse Practitioner - Family in Reedley, CA

Active since June 07, 2020PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
703 W HERBERT AVE, REEDLEY, CA 93654(337) 991-9276(337) 943-0846 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Jun 7, 2020 (2 updates tracked since 2020).

About Marlene Guerrero Aprn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE GUERRERO APRN, NP-C (NPI 1053935817) is an individual family provider in Reedley, California, licensed in California (95019663) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053935817
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE GUERREROCredential: APRN, NP-C
Location Address703 W HERBERT AVEReedley, CA 93654-3941
Mailing Address1509 Dulles DrLafayette, LA 70506-3718 · (337) 991-9276 · Fax (337) 943-0846
Phone(337) 991-9276
Fax(337) 943-0846
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 7, 2020
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1053935817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95019663
Also ListedRegistered NurseTaxonomy 163W00000X · License 432462 (OH)
703 W HERBERT AVE, Reedley, CA 93654
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlene Guerrero Aprn, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032533906
PECOS Enrollment IDI20220516001771
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services66 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENNONITE BRETHREN HOMES, INC
Skilled Nursing Facility
703 W HERBERT AVE
REEDLEY, CA 93654
Fresno County (559) 638-6933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Guerrero's NPI number?

The NPI number for Marlene Guerrero is 1053935817. It was assigned to this individual provider in the NPPES registry on June 7, 2020.

Where is Marlene Guerrero located?

Marlene Guerrero practices at 703 W Herbert Ave, Reedley, CA 93654. The listed phone number is (337) 991-9276.

What is Marlene Guerrero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marlene Guerrero enrolled in Medicare?

Yes. Marlene Guerrero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marlene Guerrero was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.