DARLENE GUZMAN APRN, CPNP-PC
NPI 1942841648
Nurse Practitioner - Pediatrics in Austin, TX

Active since October 03, 2019PECOS Enrolled
11111 RESEARCH BLVD STE 295, AUSTIN, TX 78759(877) 800-5722 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Feb 24, 2021, Feb 19, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1942841648
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDARLENE GUZMANCredential: APRN, CPNP-PC
Location Address11111 RESEARCH BLVD STE 295Austin, TX 78759-5281
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Sole ProprietorNo
Enumeration DateOctober 3, 2019
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1942841648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · AP142881
11111 RESEARCH BLVD STE 295, Austin, TX 78759

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Darlene Guzman Aprn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 3

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

Obstetrics & Gynecology
11111 RESEARCH BLVD STE 295
AUSTIN, TX 78759
Pediatrics
11111 RESEARCH BLVD STE 295
AUSTIN, TX 78759
Clinic/Center (Federally Qualified Health Center (FQHC))
11111 RESEARCH BLVD STE 295
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.

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 6 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 13 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.