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KIMBERLY A GUAJARDO PA-C
NPI 1629454459
Physician Assistant in Austin, TX

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
6000 S. MOPAC EXPRESSWAY, SUITE 200, AUSTIN, TX 78749(512) 244-4272 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Jan 28, 2021, Dec 13, 2015 (3 updates tracked since 2015).

About Kimberly A Guajardo Pa-c NPPES

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

KIMBERLY A GUAJARDO PA-C (NPI 1629454459) is an individual physician assistant in Austin, Texas, licensed in Texas (PA10003) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Round Rock, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629454459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY A GUAJARDOCredential: PA-C
Location Address6000 S. MOPAC EXPRESSWAY, SUITE 200Austin, TX 78749
Mailing Address2000 S Mays St Ste 201Round Rock, TX 78664-7580 · (512) 244-4272
Phone(512) 244-4272
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2015
Last NPPES UpdateApril 13, 20213 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1629454459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10003
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6000 S. MOPAC EXPRESSWAY, SUITE 200, Austin, TX 78749
Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 S Mays St, 201Round Rock, TX 78664-7531 · Phone (512) 244-7242

Other Identifiers 1

Medicaid389739901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Kimberly A Guajardo Pa-c 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 ID3476851593
PECOS Enrollment IDI20160406000132
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 6

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.
607 services204 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
164 services101 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
151 services100 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
116 services82 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
35 services32 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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78749 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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 2

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

COURTNEY S KYLE PA-C
Physician Assistant
6000 S. MOPAC EXPRESSWAY, SUITE 200
AUSTIN, TX 78749
Travis County (512) 244-4272
SANDRA S. GILL LCSW
Social Worker (Clinical)
6000 S. MOPAC EXPRESSWAY, SUITE 200
AUSTIN, TX 78749
Travis County (512) 244-4272

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 Kimberly Guajardo's NPI number?

The NPI number for Kimberly Guajardo is 1629454459. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Kimberly Guajardo located?

Kimberly Guajardo practices at 6000 S. Mopac Expressway, Suite 200, Austin, TX 78749. The listed phone number is (512) 244-4272.

What is Kimberly Guajardo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Guajardo enrolled in Medicare?

Yes. Kimberly Guajardo 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 Kimberly Guajardo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Kimberly Guajardo 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 Kimberly Guajardo was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.