Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIA ANDREINA HERNANDEZ GUILARTE MD
NPI 1578133799
Psychiatry & Neurology - Neurology in Eau Claire, WI

Active since June 29, 2021PECOS Enrolled
1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2026, Jun 29, 2021 (2 updates tracked since 2021).

About Maria Andreina Hernandez Guilarte Md NPPES

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

MARIA ANDREINA HERNANDEZ GUILARTE MD (NPI 1578133799) is an individual neurology provider in Eau Claire, Wisconsin, licensed in Wisconsin (86698) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578133799
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMARIA ANDREINA HERNANDEZ GUILARTECredential: MD
Location Address1400 BELLINGER STEau Claire, WI 54703-5222
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (715) 838-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 29, 2021
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1578133799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 86698
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1400 BELLINGER ST, Eau Claire, WI 54703

Secondary Practice Locations 2

Location 190 Bergen StNewark, NJ 07103-2425 · Phone (973) 972-2500
Location 2385 Tremont AveEast Orange, NJ 07018-1023 · Phone (973) 676-1000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Andreina Hernandez Guilarte Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254843931
PECOS Enrollment IDI20260709002141
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 Reassignment

Medicare enrollment records show Maria Hernandez Guilarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
733 W CLAIREMONT AVE
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 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 54703 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Counselor (Professional)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Dietitian, Registered
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Pediatrics
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Family Medicine
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Pharmacist
1400 BELLINGER ST
EAU CLAIRE, WI 54703

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 Maria Hernandez Guilarte's NPI number?

The NPI number for Maria Hernandez Guilarte is 1578133799. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Maria Hernandez Guilarte located?

Maria Hernandez Guilarte practices at 1400 Bellinger St, Eau Claire, WI 54703. The listed phone number is (715) 838-5222.

What is Maria Hernandez Guilarte's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Maria Hernandez Guilarte enrolled in Medicare?

Yes. Maria Hernandez Guilarte is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Hernandez Guilarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Hernandez Guilarte reassigns Medicare benefits to Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Eau Claire, WI). The 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 Maria Hernandez Guilarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Hernandez Guilarte accept?

Health plans from Medica list Maria Hernandez Guilarte 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 Maria Hernandez Guilarte was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.