NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1326674375 PMHNP
Verify on CMS → Orlando Guardiola, PMHNP
Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 39,953 in Psychiatric/Mental 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
499
Medicare Part D claims · 109 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Orlando Guardiola, PMHNP filed 499 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas, prescribing 94% generic.
- 499
- Part D claims, 2023
- 94%
- 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.
Orlando Guardiola, PMHNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
499 Top 38% higher than 62% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Orlando Guardiola, PMHNP?
Quality data not reportedPrimary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
499 46% vs specialty avg
Specialty distribution in Texas
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Texas 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 Psychiatric/Mental Health 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).
Orlando Guardiola, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP credentials at 7703 FLOYD CURL DR, San Antonio, TX, 78229, with a listed phone of (210) 450-6440. NPI 1326674375 was issued on 03/20/2020.
Medicare Part D records for calendar year 2023 show 499 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $38K in drug spend, split 6% brand-name and 94% generic by claim count.
Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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
Provider Details
| NPI | 1326674375 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | PMHNP |
| Gender | Male |
| NPI Issued | 03/20/2020 |
Hospital and facility affiliations
Facilities where Orlando Guardiola, PMHNP 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.
Family Care Center LLC
San Antonio, TX
University OF Texas Health Science Center AT San Antonio
San Antonio, TX
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Orlando Guardiola, PMHNP. To verify Orlando Guardiola, PMHNP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Orlando Guardiola, PMHNP - brand share 6.0%
Psychiatric/Mental Health Nurse Practitioner average
6% brand-name claims vs 94% generic, on 499 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.
499
Total Claims
$38K
Total Drug Cost
109
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 666
- Total Day Supply
- 19,595
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $24K
- Generic Drug Cost
- $14K
Patient Demographics
- Average Patient Age
- 56.4 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 73, 65-74: 28, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Orlando Guardiola, PMHNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lamotrigine
Lamotrigine
41 claims
- Sertraline Hcl
Sertraline Hcl
36 claims
- Quetiapine Fumarate
Quetiapine Fumarate
33 claims
- Gabapentin
Gabapentin
31 claims
- Bupropion Xl
Bupropion Xl
28 claims
- Trazodone Hcl
Trazodone Hcl
26 claims
- Mirtazapine
Mirtazapine
25 claims
- Duloxetine Hcl
Duloxetine Hcl
23 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 41 |
| Sertraline Hcl | 36 |
| Quetiapine Fumarate | 33 |
| Gabapentin | 31 |
| Bupropion Xl Bupropion Hcl | 28 |
| Trazodone Hcl | 26 |
| Mirtazapine | 25 |
| Duloxetine Hcl | 23 |
| Buspirone Hcl | 19 |
| Escitalopram Oxalate | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in TX →
All providers in Texas →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Orlando Guardiola, PMHNP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Orlando Guardiola, PMHNP's 499 claims are below the specialty average of 927.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Guardiola.
Victoria Aaron-Chukwunyere
Rosenberg, TX
Dr. Chinyere Abakasanga
PMHNP
Richmond, TX
Dr. Adeline Abam
APRN-CNP
Fort Worth, TX
Julius Abam
Midlothian, TX
Dr. Kellie Abbee
NP
Southlake, TX
Compare Psychiatric/Mental Health 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Texas
Frequently Asked Questions
What is Orlando Guardiola, PMHNP's specialty? ▼
Orlando Guardiola, PMHNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in San Antonio, Texas. Credentials: PMHNP.
How much does Orlando Guardiola, PMHNP prescribe under Medicare Part D? ▼
In 2023, Orlando Guardiola, PMHNP wrote 499 Medicare Part D claims totaling $38K in drug costs for 109 beneficiaries.
Where is Orlando Guardiola, PMHNP located? ▼
Orlando Guardiola, PMHNP is located at 7703 FLOYD CURL DR, San Antonio, TX, 78229. Phone: (210) 450-6440.
What is Orlando Guardiola, PMHNP's NPI number? ▼
Orlando Guardiola, PMHNP's National Provider Identifier (NPI) is 1326674375, issued on 03/20/2020.
Does Orlando Guardiola, PMHNP prescribe more brand-name or generic drugs? ▼
Orlando Guardiola, PMHNP's prescribing is 6% brand-name and 94% generic drugs by claim count, with $24K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Orlando Guardiola, PMHNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Orlando Guardiola, PMHNP's most frequently prescribed drugs include Lamotrigine, Sertraline Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Orlando Guardiola, PMHNP accept Medicare? ▼
Orlando Guardiola, PMHNP appears in CMS Medicare data with 499 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Orlando Guardiola, PMHNP's credentials? ▼
Orlando Guardiola, PMHNP's NPI is 1326674375 with credentials PMHNP. 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
Compiled from official public sources by the PlainDoctor editorial team.