DARLENE GUZMAN APRN, CPNP-PC
NPI 1942841648
Nurse Practitioner - Pediatrics in Austin, TX
About Darlene Guzman Aprn, Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARLENE GUZMAN APRN, CPNP-PC (NPI 1942841648) is an individual pediatrics provider in Austin, Texas, licensed in Texas (AP142881) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Darlene Guzman Aprn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Darlene Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78759
- Reassigned Medicare billing, Texas enrollment
- 162 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 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78759
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 Darlene Guzman's NPI number?
The NPI number for Darlene Guzman is 1942841648. It was assigned to this individual provider in the NPPES registry on October 3, 2019.
Where is Darlene Guzman located?
Darlene Guzman practices at 11111 Research Blvd Ste 295, Austin, TX 78759. The listed phone number is (877) 800-5722.
What is Darlene Guzman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Darlene Guzman enrolled in Medicare?
Yes. Darlene Guzman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Darlene Guzman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Guzman reassigns Medicare benefits to Lone Star Circle Of Care (Austin, TX). 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 Darlene Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darlene Guzman accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Darlene 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 Darlene Guzman was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Darlene Guzman, APRN, CPNP-PC · NPI 1942841648
Pediatrics physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since October 3, 2019.
## Identity
- **NPI:** 1942841648 (Entity type: Individual)
- **Enumerated:** October 3, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP142881 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 11111 RESEARCH BLVD STE 295, Austin, TX 78759-5281
- **Phone:** (877) 800-5722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lone Star Circle Of Care (NPI 1780923045, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942841648) · Data from the CMS NPPES public registry.