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MYRA EMILY GUITREAU-IEM PMHNP
NPI 1821773953
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
621 EMANCIPATION HWY STE 201, FREDERICKSBURG, VA 22401(540) 372-2028 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Myra Emily Guitreau-iem Pmhnp NPPES

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

MYRA EMILY GUITREAU-IEM PMHNP (NPI 1821773953) is an individual psychiatric/mental health provider in Fredericksburg, Virginia, licensed in Virginia (0024187345) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821773953
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMYRA EMILY GUITREAU-IEMCredential: PMHNP
Location Address621 EMANCIPATION HWY STE 201Fredericksburg, VA 22401-4567
Mailing Address1207 Forbes StFredericksburg, VA 22405-1407 · (225) 329-7441
Phone(540) 372-2028
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1821773953 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 VA · 0024187345
621 EMANCIPATION HWY STE 201, Fredericksburg, VA 22401
Open in Google Maps ↗

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

Myra Emily Guitreau-iem Pmhnp 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 ID3274995576
PECOS Enrollment IDI20230818000846
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 Myra Guitreau-iem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rappahannock Area Community Services Board
1.3 mi
Community/Behavioral Health
600 JACKSON ST
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 61 clinicians in this Medicare group
NPI 1790742153 (540) 373-3223

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

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 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.
42 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Myra Guitreau-iem's NPI number?

The NPI number for Myra Guitreau-iem is 1821773953. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Myra Guitreau-iem located?

Myra Guitreau-iem practices at 621 Emancipation Hwy Ste 201, Fredericksburg, VA 22401. The listed phone number is (540) 372-2028.

What is Myra Guitreau-iem's specialty?

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

Is Myra Guitreau-iem enrolled in Medicare?

Yes. Myra Guitreau-iem 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 Myra Guitreau-iem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myra Guitreau-iem reassigns Medicare benefits to Rappahannock Area Community Services Board (Fredericksburg, VA). 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 Myra Guitreau-iem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Myra Guitreau-iem was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.