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NILMARIE GUZMAN MD
NPI 1245390723
Internal Medicine in Orange Park, FL

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
2021 PROFESSIONAL CENTER DR STE 100, ORANGE PARK, FL 32073(904) 688-3000(904) 688-3001 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Feb 27, 2019, Dec 20, 2017 (3 updates tracked since 2017).

About Nilmarie Guzman Md NPPES

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

NILMARIE GUZMAN MD (NPI 1245390723) is an individual internal medicine provider in Orange Park, Florida, licensed in Florida (ME93088) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1996).

NPPES Registry Identity

NPI1245390723
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNILMARIE GUZMANCredential: MD
Location Address2021 PROFESSIONAL CENTER DR STE 100Orange Park, FL 32073-4461
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008
Phone(904) 688-3000
Fax(904) 688-3001
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1996
Enumeration DateDecember 12, 2006
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1245390723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME93088
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License ME93088 (FL)
2021 PROFESSIONAL CENTER DR STE 100, Orange Park, FL 32073
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Other Identifiers 2

Medicaid473932675AGA
Medicaid277209400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Nilmarie Guzman Md 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 ID143221465
PECOS Enrollment IDI20070129000471
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.

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.
32 services23 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 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

DR. SUZANNE L MARTINEZ MD
Internal Medicine
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073
Clay County (904) 777-2667
MICHAEL MENG DO
Student in an Organized Health Care Education/Training Program
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073
Clay County (904) 639-2022
WILLIAM LEVI ZVAGELSKY DO
Student in an Organized Health Care Education/Training Program
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073
Clay County (904) 639-2000
DR. RENEE ASHLEY MORECROFT-PHILLIPPS MBBS
Student in an Organized Health Care Education/Training Program
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073
Clay County (904) 639-2005
DR. RYAN JOHNSON DO
Internal Medicine
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073
Clay County (049) 622-9200

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 Nilmarie Guzman's NPI number?

The NPI number for Nilmarie Guzman is 1245390723. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Nilmarie Guzman located?

Nilmarie Guzman practices at 2021 Professional Center Dr Ste 100, Orange Park, FL 32073. The listed phone number is (904) 688-3000.

What is Nilmarie Guzman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nilmarie Guzman enrolled in Medicare?

Yes. Nilmarie Guzman 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 Nilmarie Guzman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Nilmarie Guzman 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 Nilmarie Guzman was last updated on June 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.