2026 NPPES data Adult Health Nurse Practitioner NPI 1851480701 APRN
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Christella Guzman, APRN

Adult Health Nurse Practitioner in Honolulu, Hawaii.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
620
Medicare Part D claims · 199 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.3/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$1.1K
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Christella Guzman, APRN reported a CMS MIPS final score of 86.3/100 - above the 83.5 national average - and filed 620 Medicare Part D claims in 2024.

86.3/100
MIPS score · +3 vs avg
620
Part D claims, 2024
74%
generic prescribing
$1.1K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Christella Guzman, APRN

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1851480701), first enumerated 10/11/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 620 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 86.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.1K in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1851480701 · Adult Health Nurse Practitioner

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1851480701
  • ENUM-LEGACY 2006
  • TAX-MID 30K Adult Health
  • MIPS-INLINE 86.3/100
  • RX-LIGHT 620
  • BOOK-THIN 67 in Hawaii
  • PHOTO-FINISH Arlene Shaw · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Christella Guzman, APRN's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

86 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Christella Guzman, APRN sits

This provider among adult health nurse practitioner peers

Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Christella Guzman, APRN writes more Part D claims than 60% of them and scores higher on MIPS quality than 50% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Christella Guzman, APRN, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Christella Guzman, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Christella Guzman, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 10/11/2006

NPI 1851480701

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,811 US NPIs in this specialty

Medicare Part D claims

620 52% vs specialty avg

2024 prescription claims

Specialty avg: 1,291

MIPS final score

86.3/100 2.8 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Hawaii

How Adult Health Nurse Practitioner compares to other specialties among Hawaii providers

Hawaii providers
Behavior Technician16.7%Massage Therapist4.3%Pharmacist3.7%Physical Therapist3.7%Registered Nurse3.2%Mental Health Counselor3.2%Adult Health Nurse Practitio…0.2%
Largest specialties in Hawaii (% of in-state providers)

Medicare quality performance, MIPS

Christella Guzman, APRN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%86.3%
MIPS final score (Adult Health Nurse Practitioner) - 86.3/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

932 WARD AVE FL 6
Honolulu, HI 96814

Provider Details

NPI 1851480701
Specialty Adult Health Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 10/11/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.2746
Final Score
Measured-score avg: 83.5
82.8779
Quality
71.3709
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Christella Guzman, APRN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Pali Momi Medical Center
★★★★☆ 4/5
Aiea, HI
Acute Care Hospitals
CMS CCN: 120026
Queens University Medical Group
Honolulu, HI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Christella Guzman, APRN. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABIOMED

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

Christella Guzman, APRN - brand share 26.0%
Adult Health Nurse Practitioner average

26% brand-name claims vs 74% generic, on 620 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

620
Total Claims
$229K
Total Drug Cost
199
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,682.9
Total Day Supply
49,994
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$218K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
2.48
Gender Split
33% female / 67% male
Age Distribution
<65: 22, 65-74: 73, 75-84: 83, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Christella Guzman, APRN prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Clopidogrel
Clopidogrel Bisulfate
65
Metoprolol Succinate
64
Atorvastatin Calcium
53
Jardiance
Empagliflozin
34
Eliquis
Apixaban
32
Amlodipine Besylate
29
Brilinta
Ticagrelor
29
Carvedilol
28
Furosemide
27
Losartan Potassium
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Health Nurse Practitioner Overview

How Christella Guzman, APRN fits within the Adult Health Nurse Practitioner landscape nationally.

29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider

Christella Guzman, APRN's 620 claims are below the specialty average of 1,291.

Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Guzman, both outside Hawaii so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (86.3 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Adult Health Nurse Practitioner Providers in Hawaii

Other clinicians with the same primary specialty enrolled in Hawaii, drawn from the same CMS NPPES roster as Guzman.

One of 67 Adult Health Nurse Practitioner providers enrolled in Hawaii, 5 are shown here.

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Christella Guzman, APRN's specialty?
Christella Guzman, APRN specializes in Adult Health Nurse Practitioner and practices in Honolulu, Hawaii. Credentials: APRN.
How much does Christella Guzman, APRN prescribe under Medicare Part D?
In 2024, Christella Guzman, APRN wrote 620 Medicare Part D claims totaling $229K in drug costs for 199 beneficiaries.
What is Christella Guzman, APRN's Medicare quality score?
Christella Guzman, APRN has a CMS MIPS Final Score of 86.3/100 (Quality: 82.9, Cost: 71.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Christella Guzman, APRN located?
Christella Guzman, APRN is located at 932 WARD AVE FL 6, Honolulu, HI, 96814. Phone: (808) 535-5555.
What is Christella Guzman, APRN's NPI number?
Christella Guzman, APRN's National Provider Identifier (NPI) is 1851480701, issued on 10/11/2006.
Does Christella Guzman, APRN prescribe more brand-name or generic drugs?
Christella Guzman, APRN's prescribing is 26% brand-name and 74% generic drugs by claim count, with $218K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Christella Guzman, APRN prescribe most often?
Based on 2024 Medicare Part D data, Christella Guzman, APRN's most frequently prescribed drugs include Clopidogrel, Metoprolol Succinate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Christella Guzman, APRN accept Medicare?
Christella Guzman, APRN appears in CMS Medicare data with 620 Part D claims and 199 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Christella Guzman, APRN's credentials?
Christella Guzman, APRN's NPI is 1851480701 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.