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

CARMEN M GUANIPA ARNP
NPI 1669918678
Nurse Practitioner - Family in Jacksonville, FL

Active since January 13, 2017PECOS Enrolled
4720 SALISBURY RD, JACKSONVILLE, FL 32256(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2026, Aug 10, 2022, Jul 6, 2018 and 1 more (4 updates tracked since 2017).

About Carmen M Guanipa Arnp NPPES

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

CARMEN M GUANIPA ARNP (NPI 1669918678) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP 9402297) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palmetto Bay, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669918678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN M GUANIPACredential: ARNP
Location Address4720 SALISBURY RDJacksonville, FL 32256-6101
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Fax(629) 240-6003
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 13, 2017
Last NPPES UpdateOctober 31, 20264 updates tracked since enumeration
NPPES CertifiedOctober 31, 2026
✔ NPI 1669918678 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 FL · ARNP 9402297
4720 SALISBURY RD, Jacksonville, FL 32256

Secondary Practice Location 1

Location 19635 SW 181st TerPalmetto Bay, FL 33157-5630 · Phone (305) 238-8561 · Fax (305) 238-4089

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

Carmen M Guanipa Arnp 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 ID7618252198
PECOS Enrollment IDI20170323002641
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 Carmen Guanipa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
4720 SALISBURY RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 98 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 2

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.
26 services21 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Social Worker (Clinical)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Nurse Practitioner (Adult Health)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Internal Medicine (Cardiovascular Disease)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Nurse Practitioner
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Speech-Language Pathologist
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Internal Medicine
4720 SALISBURY RD
JACKSONVILLE, FL 32256

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 Carmen Guanipa's NPI number?

The NPI number for Carmen Guanipa is 1669918678. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Where is Carmen Guanipa located?

Carmen Guanipa practices at 4720 Salisbury Rd, Jacksonville, FL 32256. The listed phone number is (855) 212-2273.

What is Carmen Guanipa's specialty?

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

Is Carmen Guanipa enrolled in Medicare?

Yes. Carmen Guanipa 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 organization bills Medicare for Carmen Guanipa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Guanipa reassigns Medicare benefits to Monogram Health Professional Services Of Florida LLC (Jacksonville, FL). 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 Carmen Guanipa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Guanipa accept?

Health plans from Oscar Health Maintenance Organization of Florida list Carmen Guanipa 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 Carmen Guanipa was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.