NPPES file of Aug 9, 2026

Karen Guigno, NP

Family Nurse Practitioner · Framingham, MA

Karen Guigno, NP is a family nurse practitioner with a practice address in Framingham, Massachusetts, and NPI 1578811105, issued on Aug 29, 2012. Check the license (Massachusetts RN255994, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1578811105
Name
Karen Guigno
Credential
NP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
RN255994 MA
Self-reported in NPPES; status is on the state search
Practice location
600 Worcester RD Ste 504, Framingham, MA 01702
Phone
(508) 875-0922
Enumerated
Aug 29, 2012
Record last updated
Sep 9, 2024
Fax
(508) 875-0142
Medicare enrollment
Enrolled (PECOS I20121121000524); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 600 Worcester RD Ste 504

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Bean, MDInternal Medicine Physician1447266408

Verify Karen Guigno in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
    Search for license RN255994
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Massachusetts license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.2 times the Medicare Part D claims of the average family nurse practitioner in 2024

2,863 Medicare Part D claims for 390 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 39 claims were for opioids.

  1. Karen Guigno2,863
  2. Specialty average1,305

Most prescribed

  1. Atorvastatin Calcium170 claims
  2. Omeprazole164 claims
  3. Levothyroxine Sodium139 claims
  4. Lisinopril139 claims
  5. Amlodipine Besylate120 claims
  6. Simvastatin98 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $48.29

2 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Karen Guigno$48.29
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Charles River Medical Associates, PCFramingham, MA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Karen Guigno among 4,724 family nurse practitioner records in Massachusetts

Karen Guigno, NP is one of 4,724 family nurse practitioner records with a practice address in Massachusetts. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 23% of them.

  • NPI issued2012 · 23% of these records are older, 74% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 57% of these records are
  • Graduated2012 · median 2019 among the 2,704 with a school on file
  • Record last updated2024 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

46 family nurse practitioner records list a practice address in Framingham

They are 46 of the 3,069 NPPES records with a practice address in Framingham, and 4,724 family nurse practitioner records in Massachusetts.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Yevgeniya Belkina, NPFramingham, MA 017021710919113
  2. Sara Britton, APRN- BCFramingham, MA 017021306002944
  3. Yelena Geiler, RN MSN FNP-CFramingham, MA 017021376781187
  4. Barbara Hignite, ARNPFramingham, MA 017021982617262
  5. Jessica Kraft, FNP, BSN, MSN, MPHFramingham, MA 017021851727168
  6. Nancy Kunkel, APRNFramingham, MA 017021396982872
  7. Shari O'Leary, FNP-CFramingham, MA 017021134590623
  8. Mary Poillucci, RNNPFramingham, MA 017021124544515

Common questions

What is Karen Guigno, NP's NPI number?

Karen Guigno, NP's National Provider Identifier (NPI) is 1578811105, issued on Aug 29, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Karen Guigno, NP located?

The NPPES record lists a practice address at 600 Worcester RD Ste 504, Framingham, MA, 01702. Phone: (508) 875-0922. Providers update this record themselves, so call before visiting.

How can I verify Karen Guigno, NP's license?

NPPES lists Massachusetts license number RN255994, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.

How much does Karen Guigno, NP prescribe under Medicare Part D?

In 2024, Karen Guigno, NP had 2,863 Medicare Part D claims for 390 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.