Active NPI 1114451879 Individual Practitioner Female Practitioner

Editha Guevara , CNP

Nurse Practitioner - Gerontology • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Editha Guevara, CNP is a certified Nurse Practitioner - Gerontology practicing in Plano, TX. With approximately 10 years of clinical experience since completing medical education in 2016, Editha Guevara delivers high-quality medical care to the local community at 1100 ALLIED DR.

Editha Guevara is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Allied Dr

Plano, TX 750935348

Telephone 8778144488

Associated Practice Facility / Clinic

🏢 Texas Heart Hospital Of The Southwest, Llc Facility NPI 1962504340

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Plano, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +3.5 yrs vs City Avg

City Avg: 6.5 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Plano, TX (963 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guevara (10 Years) 10 Yrs

Plano Specialty Average (6.5 Years) 6.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$186.19	$63.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	25	$90.00	$64.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	354	128	$90.00	$57.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	25	$130.00	$83.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	18	$50.00	$31.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	317	112	$90.00	$59.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	38	$130.00	$84.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	17	$50.00	$31.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	337	162	$89.73	$60.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	40	$130.00	$87.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	56	$50.00	$32.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$245.00	$167.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$170.00	$114.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	486	207	$90.08	$60.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	50	$130.00	$85.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	49	$50.00	$32.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$245.00	$167.18
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$125.00	$83.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	547	243	$90.00	$59.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	42	$130.00	$85.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$50.00	$32.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$245.00	$166.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	325	154	$90.00	$59.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	40	$50.00	$32.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	11	$130.00	$86.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$160.00	$106.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$30.00	$20.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$245.00	$166.97
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$65.00	$41.97

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License TX AP132349

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX AP132349

Definition to come...

Hospital & Practice Group Affiliations

Healthtexas Provider Network

4708 Alliance Blvd, Plano, TX 750935339

Phone: 4698006200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Luann Caras , CNP

Nurse Practitioner - Acute Care

NPI 1205274479

Certified Nurse Practitioner

Jami Landers , CNP

Nurse Practitioner - Adult Health

NPI 1932567898

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2017

Registered at 1100 ALLIED DR, PLANO, TX 750935348 (Tel: 8778144488)

📍

Updated Business Mailing Address June 13, 2017

Registered at PO BOX 844596, DALLAS, TX 752844596 (Tel: 4408790081)

👤

Provider Name / Credentials Updated June 13, 2017

Recorded as EDITHA GUEVARA, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Nurse Practitioner (License #AP132349 in TX)

✅

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2017

Registered at 1100 ALLIED DR, PLANO, TX 750935348 (Tel: 8778144488)

📍

Updated Business Mailing Address April 19, 2017

Registered at PO BOX 844596, DALLAS, TX 752844596 (Tel: 4408790081)

👤

Provider Name / Credentials Updated April 19, 2017

Recorded as EDITHA GUEVARA, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Nurse Practitioner (License #AP132349 in TX)

🟢

Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114451879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2017

Last Update: June 13, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 844596

Dallas, TX 752844596

Phone: 4408790081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.