GUADALUPE CHICAS PORTILLO AGACNP
NPI 1154029429
Nurse Practitioner - Acute Care in Arlington, VA

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
1045 S EDISON ST, ARLINGTON, VA 22204(571) 289-9475 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Guadalupe Chicas Portillo Agacnp NPPES

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

GUADALUPE CHICAS PORTILLO AGACNP (NPI 1154029429) is an individual acute care provider in Arlington, Virginia, licensed in Virginia (2022137914) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154029429
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameGUADALUPE CHICAS PORTILLOCredential: AGACNP
Location Address1045 S EDISON STArlington, VA 22204-3220
Mailing Address3300 Gallows RdFalls Church, VA 22042-3307 · (703) 776-4001
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 16, 2023
Last NPPES UpdateMarch 3, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1154029429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in VA · 2022137914✔ Licensed in VA · 0001227695
1045 S EDISON ST, Arlington, VA 22204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guadalupe Chicas Portillo Agacnp 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 ID5890148159
PECOS Enrollment IDI20240202001036
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Guadalupe Chicas Portillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 167 clinicians in this Medicare group
Diagnostic Radiology
9601 BLACKWELL RD STE 150
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 118 clinicians in this Medicare group
Physical Medicine & Rehabilitation
820 WEST DIAMOND AVENUE
Gaithersburg, MD 20878
  • Reassigned Medicare billing, District of Columbia enrollment
  • 340 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22204 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Guadalupe Chicas Portillo's NPI number?

The NPI number for Guadalupe Chicas Portillo is 1154029429. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Guadalupe Chicas Portillo located?

Guadalupe Chicas Portillo practices at 1045 S Edison St, Arlington, VA 22204. The listed phone number is (571) 289-9475.

What is Guadalupe Chicas Portillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Guadalupe Chicas Portillo enrolled in Medicare?

Yes. Guadalupe Chicas Portillo 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.

Which organizations bill Medicare for Guadalupe Chicas Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Chicas Portillo reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Falls Church, VA), Blackwell Physicians, LLC (Rockville, MD) and Adventist Physician Services, Inc. (Gaithersburg, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guadalupe Chicas Portillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Guadalupe Chicas Portillo was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.