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LETICIA GUZMAN-MARISCAL
NPI 1790586899
Nurse Practitioner - Family in Richland, WA

Active since March 24, 2025PECOS Enrolled
1766 FOWLER ST STE A, RICHLAND, WA 99352(509) 735-9355(509) 222-1511 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2026, Mar 24, 2025 (2 updates tracked since 2025).

About Leticia Guzman-mariscal NPPES

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

LETICIA GUZMAN-MARISCAL (NPI 1790586899) is an individual family provider in Richland, Washington, licensed in Washington (AP61630273) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790586899
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLETICIA GUZMAN-MARISCAL
Location Address1766 FOWLER ST STE ARichland, WA 99352-4843
Mailing Address1766 Fowler St Ste ARichland, WA 99352-4843 · (509) 735-9355
Phone(509) 735-9355
Fax(509) 222-1511
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2025
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1790586899 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 WA · AP61630273
1766 FOWLER ST STE A, Richland, WA 99352
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leticia Guzman-mariscal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315421625
PECOS Enrollment IDI20260324002988
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 Leticia Guzman-mariscal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Total Collision And Injury Care LLC
Same address
Family
1776 FOWLER ST
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 9 clinicians in this Medicare group
NPI 1457625659 (509) 735-9355

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 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Leticia Guzman-mariscal's NPI number?

The NPI number for Leticia Guzman-mariscal is 1790586899. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Leticia Guzman-mariscal located?

Leticia Guzman-mariscal practices at 1766 Fowler St Ste A, Richland, WA 99352. The listed phone number is (509) 735-9355.

What is Leticia Guzman-mariscal's specialty?

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

Is Leticia Guzman-mariscal enrolled in Medicare?

Yes. Leticia Guzman-mariscal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leticia Guzman-mariscal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Guzman-mariscal reassigns Medicare benefits to Total Collision And Injury Care LLC (Richland, WA). 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 Leticia Guzman-mariscal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leticia Guzman-mariscal accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Leticia Guzman-mariscal 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 Leticia Guzman-mariscal was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.