VICTORIA DE LA GUERRA
NPI 1235870924
Nurse Practitioner - Family in Philadelphia, PA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
1101 CHESTNUT ST FL 8, PHILADELPHIA, PA 19107(215) 955-4226 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Jul 11, 2024, Jul 3, 2024 and 1 more (4 updates tracked since 2022).

About Victoria De La Guerra NPPES

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

VICTORIA DE LA GUERRA (NPI 1235870924) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025523) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235870924
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA DE LA GUERRA
Location Address1101 CHESTNUT ST FL 8Philadelphia, PA 19107-3612
Mailing Address1101 Chestnut StPhiladelphia, PA 19107-3612 · (215) 955-4226
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1235870924 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 PA · SP025523
1101 CHESTNUT ST FL 8, Philadelphia, PA 19107

Accepted 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

Victoria De La Guerra 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 ID8628456498
PECOS Enrollment IDI20220607001565
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

4

Medicare enrollment records show Victoria De La Guerra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
Family
1 CVS DR
Woonsocket, RI 02895
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 122 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.

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.

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.
52 services51 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

Hospital Affiliations CMS Care Compare 3

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.87
Improvement Activities40
Cost91.65

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1101 CHESTNUT ST FL 8
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST FL 8
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
1101 CHESTNUT ST FL 8
PHILADELPHIA, PA 19107
Nurse Practitioner
1101 CHESTNUT ST FL 8
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST FL 8
PHILADELPHIA, PA 19107

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 Victoria De La Guerra's NPI number?

The NPI number for Victoria De La Guerra is 1235870924. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Victoria De La Guerra located?

Victoria De La Guerra practices at 1101 Chestnut St Fl 8, Philadelphia, PA 19107. The listed phone number is (215) 955-4226.

What is Victoria De La Guerra's specialty?

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

Is Victoria De La Guerra enrolled in Medicare?

Yes. Victoria De La Guerra 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 Victoria De La Guerra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria De La Guerra reassigns Medicare benefits to 4 organizations: Jefferson University Physicians (Philadelphia, PA), Methodist Associates In Healthcare, Inc (Philadelphia, PA), Main Line Healthcare (Newtown Square, PA) and Minuteclinic Video Virtual Care, PLLC (Woonsocket, RI). 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 Victoria De La Guerra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria De La Guerra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Victoria De La Guerra 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 Victoria De La Guerra affiliated with any hospitals?

According to CMS data, Victoria De La Guerra is affiliated with Jefferson Stratford Hospital, Thomas Jefferson University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Victoria De La Guerra was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.