CRETIA GUZMAN
NPI 1306390638
Nurse Practitioner - Family in Tulare, CA

Active since August 03, 2016PECOS EnrolledAccepts Medicare Assignment
869 N CHERRY ST, TULARE, CA 93274(559) 688-0821 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cretia Guzman NPPES

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

CRETIA GUZMAN (NPI 1306390638) is an individual family provider in Tulare, California, licensed in California (95004560) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306390638
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRETIA GUZMAN
Location Address869 N CHERRY STTulare, CA 93274-2207
Mailing Address888 N N PlTulare, CA 93274-2032 · (559) 679-7605
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 3, 2016
✔ NPI 1306390638 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 CA · 95004560
869 N CHERRY ST, Tulare, CA 93274

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

Cretia Guzman 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 ID3072882372
PECOS Enrollment IDI20170629001823
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

6

Medicare enrollment records show Cretia Guzman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
869 N CHERRY ST
Tulare, CA 93274
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
Multi-Specialty
938 N CHERRY ST
Tulare, CA 93274
  • Reassigned Medicare billing, California enrollment
  • 184 clinicians in this Medicare group
Family Medicine
1090 N CHERRY ST
Tulare, CA 93274
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
Urgent Care
1581 HILLMAN ST
Tulare, CA 93274
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Family Medicine
4025 W CALDWELL AVE, SUITE A
Visalia, CA 93277
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93274 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 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 20

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

Student in an Organized Health Care Education/Training Program
869 N CHERRY ST
TULARE, CA 93274
Anesthesiology
869 N CHERRY ST
TULARE, CA 93274
Nurse Practitioner (Family)
869 N CHERRY ST
TULARE, CA 93274
Student in an Organized Health Care Education/Training Program
869 N CHERRY ST
TULARE, CA 93274
Student in an Organized Health Care Education/Training Program
869 N CHERRY ST
TULARE, CA 93274
Clinical Nurse Specialist (Family Health)
869 N CHERRY ST
TULARE, CA 93274
Anesthesiology
869 N CHERRY ST
TULARE, CA 93274
Home Health
869 N CHERRY ST
TULARE, CA 93274

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 Cretia Guzman's NPI number?

The NPI number for Cretia Guzman is 1306390638. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Cretia Guzman located?

Cretia Guzman practices at 869 N Cherry St, Tulare, CA 93274. The listed phone number is (559) 688-0821.

What is Cretia Guzman's specialty?

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

Is Cretia Guzman enrolled in Medicare?

Yes. Cretia 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.

Which organizations bill Medicare for Cretia Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cretia Guzman reassigns Medicare benefits to 6 organizations: Galen Inpatient Physicians PC (Tulare, CA), Kaweah Delta Health Care District (Tulare, CA), Adventist Health Physicians Network (Tulare, CA), Transamerica Medical Group Inc. (Tulare, CA), H James Princeton MD A Professional Corp (Visalia, CA) and 1 more organization, listed in the Medicare section above. 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 Cretia Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cretia Guzman was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.