MRS. PAMELIA ANN GUILFORD ARNP-C
NPI 1154502102
Nurse Practitioner - Family in Sebastian, FL

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
13090 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 589-3755 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Pamelia Ann Guilford Arnp-c NPPES

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

MRS. PAMELIA ANN GUILFORD ARNP-C (NPI 1154502102) is an individual family provider in Sebastian, Florida, licensed in Florida (1095952) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154502102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PAMELIA ANN GUILFORDCredential: ARNP-C
Location Address13090 US HIGHWAY 1Sebastian, FL 32958-3733
Mailing Address13090 Us Highway 1Sebastian, FL 32958-3733 · (772) 589-3755
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 19, 2007
NPI 1154502102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 1095952
13090 US HIGHWAY 1, Sebastian, FL 32958

Accepted Insurance

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

Mrs. Pamelia Ann Guilford Arnp-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 ID9335328723
PECOS Enrollment IDI20110201000678
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 4

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.

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.
109 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
56 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%112 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%129 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%85 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers12 claims38 services$4.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
13090 US HIGHWAY 1
SEBASTIAN, FL 32958
Physician Assistant
13090 US HIGHWAY 1
SEBASTIAN, FL 32958
Internal Medicine
13090 US HIGHWAY 1
SEBASTIAN, FL 32958
Internal Medicine
13090 US HIGHWAY 1
SEBASTIAN, FL 32958

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 Pamelia Guilford's NPI number?

The NPI number for Pamelia Guilford is 1154502102. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Pamelia Guilford located?

Pamelia Guilford practices at 13090 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 589-3755.

What is Pamelia Guilford's specialty?

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

Is Pamelia Guilford enrolled in Medicare?

Yes. Pamelia Guilford 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.

What insurance does Pamelia Guilford accept?

Health plans from AvMed list Pamelia Guilford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pamelia Guilford affiliated with any hospitals?

According to CMS data, Pamelia Guilford is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Pamelia Guilford was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.