2026 NPPES data Family Nurse Practitioner NPI 1356526586 NP
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ROMEO GUERRERO, NP

Family Nurse Practitioner in DONNA, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
223
Medicare Part D claims · 101 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$240.73
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROMEO GUERRERO, NP is a Family Nurse Practitioner ([object Object]) practicing in DONNA, Texas with a Medicare Part D prescribing footprint of 223 claims across 101 beneficiaries — 9% brand-name prescribing . Industry payments of $240.73 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROMEO GUERRERO, NP filed 223 Medicare Part D claims in 2023 across DONNA, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ROMEO GUERRERO, NP at a glance

Quality data not reported

NPI registry status

Active

Issued 01/07/2008

NPI 1356526586

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

223 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Family Nurse Practitioner share within Texas

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

ROMEO GUERRERO, NP is a Family Nurse Practitioner provider practicing in DONNA, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1356526586. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ROMEO GUERRERO, NP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP credentials at 102 N SALINAS BLVD STE B, DONNA, TX, 78537, with a listed phone of (956) 377-5400. NPI 1356526586 was issued on 01/07/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUERRERO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 223 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $30K in drug spend, split 9% brand-name and 91% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

102 N SALINAS BLVD STE B
DONNA, TX 78537

Provider Details

NPI 1356526586
Specialty Family Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 01/07/2008

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 ROMEO GUERRERO, NP. Source: openpaymentsdata.cms.gov.

Total received

$241

Largest payer

Novo Nordisk Inc

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 — 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 ROMEO GUERRERO, NP. To verify ROMEO GUERRERO, NP'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

ROMEO GUERRERO, NP — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 223 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.

223
Total Claims
$30K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
388
Total Day Supply
10,616
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$26K
Generic Drug Cost
$4K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.83
Gender Split
53% female / 47% male
Age Distribution
<65: 25, 65-74: 48, 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.

Drug Claims
Alprazolam
22
Azithromycin
11

* 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 ROMEO GUERRERO, NP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

ROMEO GUERRERO, NP's 223 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Texas

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

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

Frequently Asked Questions

What is ROMEO GUERRERO, NP's specialty?
ROMEO GUERRERO, NP specializes in Family Nurse Practitioner and practices in DONNA, Texas. Credentials: NP.
How much does ROMEO GUERRERO, NP prescribe under Medicare Part D?
In 2023, ROMEO GUERRERO, NP wrote 223 Medicare Part D claims totaling $30K in drug costs for 101 beneficiaries.
Where is ROMEO GUERRERO, NP located?
ROMEO GUERRERO, NP is located at 102 N SALINAS BLVD STE B, DONNA, TX, 78537. Phone: (956) 377-5400.
What is ROMEO GUERRERO, NP's NPI number?
ROMEO GUERRERO, NP's National Provider Identifier (NPI) is 1356526586, issued on 01/07/2008.
Does ROMEO GUERRERO, NP prescribe more brand-name or generic drugs?
ROMEO GUERRERO, NP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $26K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 ROMEO GUERRERO, NP prescribe most often?
Based on 2023 Medicare Part D data, ROMEO GUERRERO, NP's most frequently prescribed drugs include Alprazolam, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROMEO GUERRERO, NP accept Medicare?
ROMEO GUERRERO, NP appears in CMS Medicare data with 223 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROMEO GUERRERO, NP's credentials?
ROMEO GUERRERO, NP's NPI is 1356526586 with credentials NP. 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

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