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GUERLINE SAINTFLEUR
NPI 1184209579
Nurse Practitioner - Family in Lakeside, AZ

Active since March 17, 2021PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
20 E WHITE MOUNTAIN BLVD STE A5294, LAKESIDE, AZ 85929(954) 822-8219 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Guerline Saintfleur NPPES

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

GUERLINE SAINTFLEUR (NPI 1184209579) is an individual family provider in Lakeside, Arizona, licensed in Florida (9430894) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184209579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGUERLINE SAINTFLEUR
Location Address20 E WHITE MOUNTAIN BLVD STE A5294Lakeside, AZ 85929-6807
Mailing Address20 E White Mountain Blvd Ste A5294Lakeside, AZ 85929-6807 · (954) 822-8219
Phone(954) 822-8219
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1184209579 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 · 9430894
20 E WHITE MOUNTAIN BLVD STE A5294, Lakeside, AZ 85929
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Guerline Saintfleur 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 ID8527446624
PECOS Enrollment IDI20260428001515
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

2

Medicare enrollment records show Guerline Saintfleur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Apache County Special Health Care District
114 mi
Primary Care
359-A WEST HIGHWAY 264
St Michaels, AZ 86511
  • Reassigned Medicare billing, Arizona enrollment
NPI 1326147893 (928) 810-3800
Tuba City Regional Health Care Corporation
114 mi
Family Medicine
HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1134382211 (928) 283-2672

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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
165 services163 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.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85929 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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 Guerline Saintfleur's NPI number?

The NPI number for Guerline Saintfleur is 1184209579. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Guerline Saintfleur located?

Guerline Saintfleur practices at 20 E White Mountain Blvd Ste A5294, Lakeside, AZ 85929. The listed phone number is (954) 822-8219.

What is Guerline Saintfleur's specialty?

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

Is Guerline Saintfleur enrolled in Medicare?

Yes. Guerline Saintfleur 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 Guerline Saintfleur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guerline Saintfleur reassigns Medicare benefits to 2 organizations: Northern Apache County Special Health Care District (St Michaels, AZ) and Tuba City Regional Health Care Corporation (Cameron, AZ). 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 Guerline Saintfleur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guerline Saintfleur accept?

Health plans from Blue Cross Blue Shield of Arizona list Guerline Saintfleur 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.

When was this NPI record last updated?

The NPPES record for Guerline Saintfleur was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.