NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1164804597
Verify on CMS → Marie Guelce
Family Nurse Practitioner in Elmont, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
1K
Medicare Part D claims · 301 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Marie Guelce filed 1,378 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Elmont, New York, prescribing 83% generic.
- 1K
- Part D claims, 2023
- 83%
- generic prescribing
- ≥79th
- pct by Part D claim volume (lower-bound band)
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 Marie Guelce
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1164804597), first enumerated 06/22/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,378 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Marie Guelce's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- 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 1164804597 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1164804597
- ENUM-MID 2015
- TAX-MEGA 211K Family Nurse
- RX-MID 1,378
- BOOK-MID 12,508 in New York
- PHOTO-ENUM Ashley Carter · 2015
Marie Guelce's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,378 ≥ 79th percentile 79% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Marie Guelce?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,378 13% vs specialty avg
Specialty distribution in New York
How Family Nurse Practitioner compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:
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
Provider Details
| NPI | 1164804597 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Female |
| NPI Issued | 06/22/2015 |
Hospital and facility affiliations
Facilities where Marie Guelce 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.
Expert Medical Services LLC
Jericho, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Marie Guelce. To verify Marie Guelce's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Marie Guelce - brand share 16.0%
Family Nurse Practitioner average
16% brand-name claims vs 83% generic, on 1,378 2023 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 2023.
1,378
Total Claims
$136K
Total Drug Cost
301
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,280
- Total Day Supply
- 58,856
- Brand vs Generic
- 16% brand / 83% generic
- Brand Drug Cost
- $100K
- Generic Drug Cost
- $36K
- Opioid Claims
- 41 (3.0% rate)
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 79.6 years
- Avg HCC Risk Score
- 2.86
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 28, 65-74: 59, 75-84: 95, 85+: 119
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marie Guelce prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
71 claims
- Levothyroxine Sodium
Levothyroxine Sodium
44 claims
- Metformin Hcl
Metformin Hcl
38 claims
- Metoprolol Tartrate
Metoprolol Tartrate
36 claims
- Nystatin
Nystatin
35 claims
- Amlodipine Besylate
Amlodipine Besylate
32 claims
- Mirtazapine
Mirtazapine
30 claims
- Eliquis 26
Eliquis
26 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 71 |
| Levothyroxine Sodium | 44 |
| Metformin Hcl | 38 |
| Metoprolol Tartrate | 36 |
| Nystatin | 35 |
| Amlodipine Besylate | 32 |
| Mirtazapine | 30 |
| Eliquis Apixaban | 26 |
| Furosemide | 26 |
| Metoprolol Succinate | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Marie Guelce fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Marie Guelce's 1,378 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Guelce, both outside New York so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Guelce.
One of 12,508 Family Nurse Practitioner providers enrolled in New York, 5 are shown here.
Dr. Carolyn A'Hearn
NP
Syracuse, NY
Dr. Lindsey Aanonsen
FNP
Staten Island, NY
Dr. Abigail Aaron
FNP
New York, NY
Dr. Memoudou Abalola
NP
Bronx, NY
Dr. Jennifer Abate
FNP-BC
New York, NY
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Marie Guelce's specialty? ▼
Marie Guelce specializes in Family Nurse Practitioner and practices in Elmont, New York.
How much does Marie Guelce prescribe under Medicare Part D? ▼
In 2023, Marie Guelce wrote 1,378 Medicare Part D claims totaling $136K in drug costs for 301 beneficiaries.
Where is Marie Guelce located? ▼
Marie Guelce is located at 1810 MONACO AVE, Elmont, NY, 11003. Phone: (917) 921-9824.
What is Marie Guelce's NPI number? ▼
Marie Guelce's National Provider Identifier (NPI) is 1164804597, issued on 06/22/2015.
Does Marie Guelce prescribe more brand-name or generic drugs? ▼
Marie Guelce's prescribing is 16% brand-name and 83% generic drugs by claim count, with $100K in brand drug costs.
Does Marie Guelce prescribe opioids? ▼
Yes, Marie Guelce had 41 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Marie Guelce prescribe most often? ▼
Based on 2023 Medicare Part D data, Marie Guelce's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marie Guelce accept Medicare? ▼
Marie Guelce appears in CMS Medicare data with 1,378 Part D claims and 301 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marie Guelce's credentials? ▼
Marie Guelce's NPI is 1164804597. 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 April 2026 (NPPES) / 2023 (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 May 2026.