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2026 NPPES data Family Nurse Practitioner NPI 1043944820 CRNP
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Melissa Guirand, CRNP

Family Nurse Practitioner in Harrisburg, Pennsylvania.

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
634
Medicare Part D claims · 302 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
82.5/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$441.03
7 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Melissa Guirand, CRNP reported a CMS MIPS final score of 82.5/100 - below the 83.5 national average - and filed 634 Medicare Part D claims in 2023.

82.5/100
MIPS score · -1 vs avg
634
Part D claims, 2023
$441.03
industry payments (Sunshine Act)
≥36th
pct among measured MIPS (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.

CMS NPPES provider registry desk

NPI 1043944820 · Family Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1043944820
  • ENUM-RECENT 2022
  • TAX-MEGA 211K Family Nurse
  • MIPS-INLINE 82.5/100
  • RX-LIGHT 634
  • BOOK-MID 6,508 in Pennsylvania
  • PHOTO-FINISH Caroline Hendrix · ±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

Melissa Guirand, CRNP'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.

83 ≥ 36th percentile 36% 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 Melissa Guirand, CRNP sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Guirand, CRNP writes more Part D claims than 59% of them and scores higher on MIPS quality than 36% - placing this provider in the high-volume, lower-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 quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Melissa Guirand, CRNP, Part D claim volume, percentile in specialty: 59 · MIPS quality, percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Melissa Guirand, CRNP?

Near national average

NPI registry status

Active

Issued 07/15/2022

NPI 1043944820

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

634 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

82.5/100 1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Family Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Family Nurse Practitioner2.5%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Melissa Guirand, CRNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
82.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%82.5%
MIPS final score (Family Nurse Practitioner) - 82.5/100 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

4310 LONDONDERRY RD STE 202
Harrisburg, PA 17109
(717) 791-2520

Provider Details

NPI 1043944820
Specialty Family Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 07/15/2022

CMS Quality Score (MIPS)

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

82.5421
Final Score
Measured-score avg: 83.5
76.6258
Quality
65.1813
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Melissa Guirand, CRNP 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.

Pinnacle Health Medical Services
Harrisburg, PA

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 Melissa Guirand, CRNP. Source: openpaymentsdata.cms.gov.

Total received

$441

Largest payer

Lundbeck LLC

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.

License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Melissa Guirand, CRNP. To verify Melissa Guirand, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

634
Total Claims
$176K
Total Drug Cost
302
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,060
Total Day Supply
30,943
Generic Drug Cost
$45K

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
1.66
Gender Split
64% female / 36% male
Age Distribution
<65: 77, 65-74: 120, 75-84: 72, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What Melissa Guirand, CRNP 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
Gabapentin
 65
Levetiracetam
 52
Donepezil Hcl
 37
Carbidopa-Levodopa
Carbidopa/Levodopa
36
Primidone
 30
Baclofen
 21
Duloxetine Hcl
 20
Pregabalin
 19
Memantine Hcl
 18
Nortriptyline Hcl
 16

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

More Family Nurse Practitioner in PA → All providers in Pennsylvania → Compare specialties →

Family Nurse Practitioner Overview

How Melissa Guirand, CRNP 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

Melissa Guirand, CRNP's 634 claims are below the specialty average of 1,222.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (82.5 here).

Caroline Hendrix 82.5 CO Cody Knauss 82.5 CO Stephanie Evans 82.5 TX Melissa Hawkins 82.5 TX

Same NPPES enumeration year (2022)

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

Maida Jackson Los Angeles, CA Brittany Peed Pasadena, MD Tejal Bhatt Timonium, MD Lauren Crociata Staten Island, NY

Nearby Family Nurse Practitioner Providers in Pennsylvania

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

One of 6,508 Family Nurse Practitioner providers enrolled in Pennsylvania, 5 are shown here.

Mynga Abarca
Wynnewood, PA
Dr. Mackenzie Abate
CRNP
Philadelphia, PA
Dr. Sandra Abbey
CRNP
Carlisle, PA
Dr. Deborah Abbonizio
CRNP
Meadowbrook, PA
Dr. Amanda Abboud
FNP-BC
Springfield, PA

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

Frequently Asked Questions

What is Melissa Guirand, CRNP's specialty? ▼
Melissa Guirand, CRNP specializes in Family Nurse Practitioner and practices in Harrisburg, Pennsylvania. Credentials: CRNP.
How much does Melissa Guirand, CRNP prescribe under Medicare Part D? ▼
In 2023, Melissa Guirand, CRNP wrote 634 Medicare Part D claims totaling $176K in drug costs for 302 beneficiaries.
What is Melissa Guirand, CRNP's Medicare quality score? ▼
Melissa Guirand, CRNP has a CMS MIPS Final Score of 82.5/100 (Quality: 76.6, Cost: 65.2). 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 Melissa Guirand, CRNP located? ▼
Melissa Guirand, CRNP is located at 4310 LONDONDERRY RD STE 202, Harrisburg, PA, 17109. Phone: (717) 791-2520.
What is Melissa Guirand, CRNP's NPI number? ▼
Melissa Guirand, CRNP's National Provider Identifier (NPI) is 1043944820, issued on 07/15/2022.
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 Melissa Guirand, CRNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Melissa Guirand, CRNP's most frequently prescribed drugs include Gabapentin, Levetiracetam, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Guirand, CRNP accept Medicare? ▼
Melissa Guirand, CRNP appears in CMS Medicare data with 634 Part D claims and 302 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Guirand, CRNP's credentials? ▼
Melissa Guirand, CRNP's NPI is 1043944820 with credentials CRNP. 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 editorial process.

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.