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TINA GUEDES NP
NPI 1194366013
Nurse Practitioner - Family in Lava Hot Springs, ID

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
85 S 5TH W, LAVA HOT SPRINGS, ID 83246(208) 776-5202(844) 492-9775 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina Guedes Np NPPES

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

TINA GUEDES NP (NPI 1194366013) is an individual family provider in Lava Hot Springs, Idaho, licensed in Idaho (60443) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194366013
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA GUEDESCredential: NP
Location Address85 S 5TH WLava Hot Springs, ID 83246
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Phone(208) 776-5202
Fax(844) 492-9775
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 2, 2019
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1194366013 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 ID · 60443
85 S 5TH W, Lava Hot Springs, ID 83246
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Tina Guedes Np 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 ID2466888748
PECOS Enrollment IDI20200204002993
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID
OwnershipGovernment - Local
CMS Certification Number131303
Location150 North 200 WestMalad, ID 83252 · Oneida County
Emergency services

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83246 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
1%144 patients
Breast Cancer Screening
64%164 patients3/55-star benchmark: 93%
Cervical Cancer Screening
43%206 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
81%165 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
48%347 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
78%206 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
48%83 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%83 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%1,677 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
45%184 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%642 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
69%428 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%895 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 533 patients
Patients screened: 98% · 533 patients
94%148 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%116 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 193 patients
Patients totalRate: 19% · 200 patients
16%200 patients3/55-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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$17.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$57.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims28 services$92.55 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 2

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

HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
85 S 5TH W
LAVA HOT SPRINGS, ID 83246
Bannock County (208) 776-5202
HELENE P EDMO FNP
Nurse Practitioner (Primary Care)
85 S 5TH W
LAVA HOT SPRINGS, ID 83246
Bannock County (208) 776-5202

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 Tina Guedes's NPI number?

The NPI number for Tina Guedes is 1194366013. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Tina Guedes located?

Tina Guedes practices at 85 S 5th W, Lava Hot Springs, ID 83246. The listed phone number is (208) 776-5202.

What is Tina Guedes's specialty?

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

Is Tina Guedes enrolled in Medicare?

Yes. Tina Guedes 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 Tina Guedes accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tina Guedes 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 Tina Guedes affiliated with any hospitals?

According to CMS data, Tina Guedes is affiliated with Portneuf Medical Center, Nell J Redfield Memorial Hospital and Caribou Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Guedes was last updated on January 17, 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.