2026 NPPES data Nurse Practitioner NPI 1407277833 NURSE PRACTITIONER
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Melissa Alegre-Guzman, NURSE PRACTITIONER

Nurse Practitioner in Hackensack, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in 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
2K
Medicare Part D claims · 286 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.3/100
▲ 9 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Melissa Alegre-Guzman, NURSE PRACTITIONER reported a CMS MIPS final score of 92.3/100 - above the 83.1 national average - and filed 2,025 Medicare Part D claims in 2023.

92.3/100
MIPS score · +9 vs avg
2K
Part D claims, 2023
87%
generic prescribing

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.

Melissa Alegre-Guzman, NURSE PRACTITIONER's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

92 Top 32% higher than 68% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where Melissa Alegre-Guzman, NURSE PRACTITIONER sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Alegre-Guzman, NURSE PRACTITIONER writes more Part D claims than 84% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Melissa Alegre-Guzman, NURSE PRACTITIONER-Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 67
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Melissa Alegre-Guzman, NURSE PRACTITIONER?

High performer (top quartile)

NPI registry status

Active

Issued 01/03/2014

NPI 1407277833

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,025 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

92.3/100 9.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 5.9%Physical Therapist5.9%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 5.4%Student in an Organized Health Care Education/Training Program5.4%Pharmacist - 5%Pharmacist5%Internal Medicine Physician - 3.1%Internal Medicine Physician3.1%Nurse Practitioner - 1.1%Nurse Practitioner1.1%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Melissa Alegre-Guzman, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
92.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 92.3/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Nurse Practitioner) - 92.3/100 vs national avg 83.1
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).

Melissa Alegre-Guzman, NURSE PRACTITIONER appears in the CMS NPPES registry as a Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 92 SUMMIT AVE, Hackensack, NJ, 07601, with a listed phone of (201) 342-0066. NPI 1407277833 was issued on 01/03/2014.

Medicare Part D records for calendar year 2023 show 2,025 prescription claims written by this provider, covering 286 Medicare beneficiaries and totaling roughly $162K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.3/100 for the 2023 performance year (Quality 73.8), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

92 SUMMIT AVE
Hackensack, NJ 07601

Provider Details

NPI 1407277833
Specialty Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 01/03/2014

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Melissa Alegre-Guzman, NURSE PRACTITIONER 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.

Emory Specialty Associates, LLC
Atlanta, GA

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

Brand vs generic prescribing mix · Typical

Melissa Alegre-Guzman, NURSE PRACTITIONER - brand share 13.0%
Nurse Practitioner average

13% brand-name claims vs 87% generic, on 2,025 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.

2,025
Total Claims
$162K
Total Drug Cost
286
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,845
Total Day Supply
140,313
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$133K
Generic Drug Cost
$28K
Opioid Claims
28 (1.4% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.99
Gender Split
73% female / 27% male
Age Distribution
<65: 19, 65-74: 165, 75-84: 81, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Melissa Alegre-Guzman, NURSE PRACTITIONER prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
99
Pantoprazole Sodium
85
Lisinopril
84
Atorvastatin Calcium
81
Levothyroxine Sodium
76
Hydrochlorothiazide
54
Sertraline Hcl
53
Metformin Hcl
52
Trazodone Hcl
50
Famotidine
40

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

Nurse Practitioner Overview

How Melissa Alegre-Guzman, NURSE PRACTITIONER fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Melissa Alegre-Guzman, NURSE PRACTITIONER's 2,025 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Alegre-Guzman.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Melissa Alegre-Guzman, NURSE PRACTITIONER's specialty?
Melissa Alegre-Guzman, NURSE PRACTITIONER specializes in Nurse Practitioner and practices in Hackensack, New Jersey. Credentials: NURSE PRACTITIONER.
How much does Melissa Alegre-Guzman, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, Melissa Alegre-Guzman, NURSE PRACTITIONER wrote 2,025 Medicare Part D claims totaling $162K in drug costs for 286 beneficiaries.
What is Melissa Alegre-Guzman, NURSE PRACTITIONER's Medicare quality score?
Melissa Alegre-Guzman, NURSE PRACTITIONER has a CMS MIPS Final Score of 92.3/100 (Quality: 73.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melissa Alegre-Guzman, NURSE PRACTITIONER located?
Melissa Alegre-Guzman, NURSE PRACTITIONER is located at 92 SUMMIT AVE, Hackensack, NJ, 07601. Phone: (201) 342-0066.
What is Melissa Alegre-Guzman, NURSE PRACTITIONER's NPI number?
Melissa Alegre-Guzman, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1407277833, issued on 01/03/2014.
Does Melissa Alegre-Guzman, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
Melissa Alegre-Guzman, NURSE PRACTITIONER's prescribing is 13% brand-name and 87% generic drugs by claim count, with $133K in brand drug costs.
Does Melissa Alegre-Guzman, NURSE PRACTITIONER prescribe opioids?
Yes, Melissa Alegre-Guzman, NURSE PRACTITIONER had 28 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Melissa Alegre-Guzman, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, Melissa Alegre-Guzman, NURSE PRACTITIONER's most frequently prescribed drugs include Amlodipine Besylate, Pantoprazole Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Alegre-Guzman, NURSE PRACTITIONER accept Medicare?
Melissa Alegre-Guzman, NURSE PRACTITIONER appears in CMS Medicare data with 2,025 Part D claims and 286 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Alegre-Guzman, NURSE PRACTITIONER's credentials?
Melissa Alegre-Guzman, NURSE PRACTITIONER's NPI is 1407277833 with credentials NURSE PRACTITIONER. 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.
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 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

Compiled from official public sources by the PlainDoctor editorial team.