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

MRS. KARINA MARIE GUFFEY PMHNP-BC, FNP-BC
NPI 1770990228
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since July 16, 2014PECOS EnrolledAccepts Medicare Assignment
5647 DELMAR BLVD, SAINT LOUIS, MO 63112(314) 866-5020(314) 367-2985 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 15, 2026, Jan 31, 2019, Feb 7, 2017 (3 updates tracked since 2017).

About Mrs. Karina Marie Guffey Pmhnp-bc, Fnp-bc NPPES

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

MRS. KARINA MARIE GUFFEY PMHNP-BC, FNP-BC (NPI 1770990228) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2018004929) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770990228
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KARINA MARIE GUFFEYCredential: PMHNP-BC, FNP-BC
Location Address5647 DELMAR BLVDSaint Louis, MO 63112-2615
Mailing Address1965 S Fremont AveSpringfield, MO 65804-2201 · (417) 820-3128
Fax(314) 367-2985
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 16, 2014
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1770990228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2018004929
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 20147025547 (MO)
5647 DELMAR BLVD, Saint Louis, MO 63112

Other Identifiers 1

Medicaid1770990228MO

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

Mrs. Karina Marie Guffey Pmhnp-bc, Fnp-bc 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 ID8022236595
PECOS Enrollment IDI20140825001639
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

3

Medicare enrollment records show Karina Guffey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5647 DELMAR BLVD.
St. Louis, MO 63112
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Betty Jean Kerr Peoples Health Centers
  • 53 clinicians in this Medicare group
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
Family
1919 FITZ LN
Nixa, MO 65714
  • Reassigned Medicare billing, Missouri enrollment
  • 7 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63112 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 11

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

Counselor (Professional)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Counselor (Professional)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Counselor (Mental Health)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Counselor (Professional)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Dentist
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Clinic/Center (Adolescent and Children Mental Health)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Counselor (Mental Health)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112
Dentist (Pediatric Dentistry)
5647 DELMAR BLVD
SAINT LOUIS, MO 63112

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 Karina Guffey's NPI number?

The NPI number for Karina Guffey is 1770990228. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Karina Guffey located?

Karina Guffey practices at 5647 Delmar Blvd, Saint Louis, MO 63112. The listed phone number is (314) 866-5020.

What is Karina Guffey's specialty?

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

Is Karina Guffey enrolled in Medicare?

Yes. Karina Guffey 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 Karina Guffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karina Guffey reassigns Medicare benefits to 3 organizations: Betty Jean Kerr People's Health Centers (St. Louis, MO), Mercy Clinic Springfield Communities (Cuba, MO) and Tp Nixa Ops (Nixa, MO). 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 Karina Guffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karina Guffey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Karina Guffey 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 Karina Guffey was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.