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KETTIA NEPHTALIE GUILLITE
NPI 1508495706
Internal Medicine - Nephrology in Farmington, NM

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
301 S LAKE ST, FARMINGTON, NM 87401(505) 278-8575 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, May 29, 2023, Apr 8, 2020 (3 updates tracked since 2020).

About Kettia Nephtalie Guillite NPPES

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

KETTIA NEPHTALIE GUILLITE (NPI 1508495706) is an individual nephrology provider in Farmington, New Mexico, licensed in New Mexico (MD2025-0787) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508495706
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameKETTIA NEPHTALIE GUILLITE
Location Address301 S LAKE STFarmington, NM 87401-5619
Mailing Address301 S Lake StFarmington, NM 87401-5619 · (505) 278-8575
Phone(505) 278-8575
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1508495706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NM · MD2025-0787
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 323904 (NY)
301 S LAKE ST, Farmington, NM 87401
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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

Kettia Nephtalie Guillite 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 ID8729520671
PECOS Enrollment IDI20240606001493, I20250923004206
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 3

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services24 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 3

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

EDMUND MCNALLY P.A.
Physician Assistant
301 S LAKE ST
FARMINGTON, NM 87401
San Juan County (505) 278-8575
MR. STEVEN ALLEN DAVENPORT FNP
Nurse Practitioner (Family)
301 S LAKE ST
FARMINGTON, NM 87401
San Juan County (505) 278-8575
INTERNAL MEDICINE ASSOCIATES, P.C.
Internal Medicine
301 S LAKE ST
FARMINGTON, NM 87401
San Juan County (505) 325-7531

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 Kettia Guillite's NPI number?

The NPI number for Kettia Guillite is 1508495706. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Kettia Guillite located?

Kettia Guillite practices at 301 S Lake St, Farmington, NM 87401. The listed phone number is (505) 278-8575.

What is Kettia Guillite's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kettia Guillite enrolled in Medicare?

Yes. Kettia Guillite 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.

Is Kettia Guillite affiliated with any hospitals?

According to CMS data, Kettia Guillite is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Kettia Guillite was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.