CAROLYN D GUIDO FNP
NPI 1992262331
Nurse Practitioner - Family in Saint Louis, MO

Active since February 21, 2019PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
5701 DELMAR BLVD, SAINT LOUIS, MO 63112(314) 367-7848(314) 367-2985 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2021, Feb 21, 2019 (2 updates tracked since 2019).

About Carolyn D Guido Fnp NPPES

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

CAROLYN D GUIDO FNP (NPI 1992262331) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019041589) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992262331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN D GUIDOCredential: FNP
Location Address5701 DELMAR BLVDSaint Louis, MO 63112-2617
Mailing Address5701 Delmar BlvdSaint Louis, MO 63112-2617 · Fax (314) 367-2985
Fax(314) 367-2985
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 21, 2019
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
NPI 1992262331 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 MO · 2019041589
5701 DELMAR BLVD, Saint Louis, MO 63112

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 and accepts Medicare assignment

Carolyn D Guido Fnp 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 ID4587062369
PECOS Enrollment IDI20211008000372
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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services21 patients
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.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Nurse Practitioner (Family)
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Podiatrist
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Dentist
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Family Medicine
5701 DELMAR BLVD
ST. LOUIS, MO 63112
Internal Medicine
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Social Worker (Clinical)
5701 DELMAR BLVD
SAINT LOUIS, MO 63112
Clinic/Center (Federally Qualified Health Center (FQHC))
5701 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 Carolyn Guido's NPI number?

The NPI number for Carolyn Guido is 1992262331. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Carolyn Guido located?

Carolyn Guido practices at 5701 Delmar Blvd, Saint Louis, MO 63112. The listed phone number is (314) 367-7848.

What is Carolyn Guido's specialty?

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

Is Carolyn Guido enrolled in Medicare?

Yes. Carolyn Guido 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.

What insurance does Carolyn Guido accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Carolyn Guido 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.

Is Carolyn Guido affiliated with any hospitals?

According to CMS data, Carolyn Guido is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Guido was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.