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NICOLE GUZMAN PMHNP-BC
NPI 1669154993
Nurse Practitioner - Psychiatric/Mental Health in Rockwall, TX

Active since August 04, 2023PECOS Enrolled
2931 RIDGE RD STE 101-1023, ROCKWALL, TX 75032(972) 630-0222 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Sep 19, 2025, Oct 25, 2023 and 1 more (4 updates tracked since 2023).

About Nicole Guzman Pmhnp-bc NPPES

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

NICOLE GUZMAN PMHNP-BC (NPI 1669154993) is an individual psychiatric/mental health provider in Rockwall, Texas, licensed in Texas (1129521) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669154993
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE GUZMANCredential: PMHNP-BC
Location Address2931 RIDGE RD STE 101-1023Rockwall, TX 75032-6670
Mailing Address2931 Ridge Rd Ste 101-1023Rockwall, TX 75032-6670 · (972) 630-0222
Phone(972) 630-0222
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 4, 2023
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1669154993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1129521
2931 RIDGE RD STE 101-1023, Rockwall, TX 75032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company 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 (PECOS)

Nicole Guzman Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658729520
PECOS Enrollment IDI20231204000524
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

ANCHOR PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
2931 RIDGE RD STE 101-1023
ROCKWALL, TX 75032
Rockwall County (972) 630-0222

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 Nicole Guzman's NPI number?

The NPI number for Nicole Guzman is 1669154993. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Nicole Guzman located?

Nicole Guzman practices at 2931 Ridge Rd Ste 101-1023, Rockwall, TX 75032. The listed phone number is (972) 630-0222.

What is Nicole Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Guzman enrolled in Medicare?

Yes. Nicole Guzman is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Guzman accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare and 1 other insurer list Nicole Guzman 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 Nicole Guzman was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.