STEPHANIE DALE GUAJARDO CNP
NPI 1649425380
Nurse Practitioner - Women's Health in Troy, OH

Active since November 21, 2008PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
600 W MAIN ST STE 330, TROY, OH 45373(937) 429-7350(937) 431-2623 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Stephanie Dale Guajardo Cnp NPPES

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

STEPHANIE DALE GUAJARDO CNP (NPI 1649425380) is an individual women's health provider in Troy, Ohio, licensed in Ohio (10124) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Soin Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649425380
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSTEPHANIE DALE GUAJARDOCredential: CNP
Location Address600 W MAIN ST STE 330Troy, OH 45373-3384
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3598 · (937) 914-7067 · Fax (937) 522-7513
Fax(937) 431-2623
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 21, 2008
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1649425380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · 10124
Also ListedNurse PractitionerTaxonomy 363L00000X · License COA10124NP (OH)
600 W MAIN ST STE 330, Troy, OH 45373

Other Names 1

Former Name (1)Stephanie Spahr Cnp

Other Identifiers 2

OtherCOA10124NPOH · Ohio License
Medicaid3077790OH

Accepted Insurance

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

Stephanie Dale Guajardo Cnp 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 ID9739356122
PECOS Enrollment IDI20120126000204
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

2

Medicare enrollment records show Stephanie Guajardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
8701 OLD TROY PIKE
Huber Heights, OH 45424
  • Reassigned Medicare billing, Ohio enrollment
  • 364 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 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.

Areas of Expertise CMS Part B claims

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 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.
34 services28 patients

Hospital Affiliations CMS Care Compare

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

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Acute Care)
600 W MAIN ST STE 330
TROY, OH 45373
Physician Assistant (Surgical)
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 330
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
600 W MAIN ST STE 330
TROY, OH 45373
Family Medicine
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 330
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 330
TROY, OH 45373

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 Stephanie Guajardo's NPI number?

The NPI number for Stephanie Guajardo is 1649425380. It was assigned to this individual provider in the NPPES registry on November 21, 2008. The provider is also known as Stephanie Spahr Cnp.

Where is Stephanie Guajardo located?

Stephanie Guajardo practices at 600 W Main St Ste 330, Troy, OH 45373. The listed phone number is (937) 429-7350.

What is Stephanie Guajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Stephanie Guajardo enrolled in Medicare?

Yes. Stephanie 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.

Which organizations bill Medicare for Stephanie Guajardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Guajardo reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Huber Heights, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Stephanie Guajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Guajardo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Stephanie 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.

Is Stephanie Guajardo affiliated with any hospitals?

According to CMS data, Stephanie Guajardo is affiliated with Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Guajardo was last updated on March 8, 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.