ANNETTE REDGUARD MSN, CRNP
NPI 1659720290
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Annette Redguard's NPI number?

The NPI number for Annette Redguard is 1659720290. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Q: What is Annette Redguard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annette Redguard was last updated on September 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2016PECOS EnrolledAccepts Medicare Assignment

1999 W HUNTING PARK AVE, PHILADELPHIA, PA 19140(215) 228-9300(215) 228-9913 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Annette Redguard Msn, Crnp NPPES

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

ANNETTE REDGUARD MSN, CRNP (NPI 1659720290) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016914) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659720290

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNETTE REDGUARDCredential: MSN, CRNP

Location Address1999 W HUNTING PARK AVEPhiladelphia, PA 19140-2828

Mailing Address902 Union Meeting RdBlue Bell, PA 19422-1910 · (856) 288-9115

Phone(215) 228-9300

Fax(215) 228-9913

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 4, 2016

Last NPPES UpdateSeptember 16, 2019

✔ NPI 1659720290 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 PA · SP016914

1999 W HUNTING PARK AVE, Philadelphia, PA 19140

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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

Annette Redguard Msn, Crnp 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 ID9739428178

PECOS Enrollment IDI20190304000555

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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Other Providers at the Same Location NPPES 17

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

GREATER PHILADELPHIA HEALTH ACTION, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))