2026 NPPES data Gerontology Nurse Practitioner NPI 1558884809 MSN, APRN, AGPCNP-BC
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TAMBRA GUINN, MSN, APRN, AGPCNP-BC

Gerontology Nurse Practitioner in IRVING, 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
2K
Medicare Part D claims · 78 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

TAMBRA GUINN, MSN, APRN, AGPCNP-BC filed 2,317 Medicare Part D claims in 2023 as a Gerontology Nurse Practitioner in IRVING, Texas, prescribing 90% generic.

2K
Part D claims, 2023
90%
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.

TAMBRA GUINN, MSN, APRN, AGPCNP-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,317 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 TAMBRA GUINN, MSN, APRN, AGPCNP-BC?

Quality data not reported

NPI registry status

Active

Issued 07/19/2017

NPI 1558884809

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

2,317 81% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

Specialty distribution in Texas

How Gerontology Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Gerontology Nurse Practitioner share within Texas

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Gerontology 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).

TAMBRA GUINN, MSN, APRN, AGPCNP-BC appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding MSN, APRN, AGPCNP-BC credentials at 4545 FULLER DR STE 330, IRVING, TX, 75038, with a listed phone of (972) 871-0100. NPI 1558884809 was issued on 07/19/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUINN 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 2,317 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $124K in drug spend, split 10% brand-name and 90% 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.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

4545 FULLER DR STE 330
IRVING, TX 75038

Provider Details

NPI 1558884809
Specialty Gerontology Nurse Practitioner
Credentials MSN, APRN, AGPCNP-BC
Gender Female
NPI Issued 07/19/2017

Hospital and facility affiliations

Facilities where TAMBRA GUINN, MSN, APRN, AGPCNP-BC 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.

GUINN HEALTHCARE TECHNOLOGIES LLC
FORT WORTH, 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 TAMBRA GUINN, MSN, APRN, AGPCNP-BC. To verify TAMBRA GUINN, MSN, APRN, AGPCNP-BC'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 · Typical

TAMBRA GUINN, MSN, APRN, AGPCNP-BC — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 2,317 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.

2,317
Total Claims
$124K
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,779
Total Day Supply
79,682
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$97K
Generic Drug Cost
$27K
Antibiotic Claims
57

Patient Demographics

Average Patient Age
59.0 years
Avg HCC Risk Score
2.18
Gender Split
41% female / 59% male
Age Distribution
<65: 45, 65-74: 26, 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 TAMBRA GUINN, MSN, APRN, AGPCNP-BC 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
Atorvastatin Calcium
180
Amlodipine Besylate
138
Gabapentin
106
Levothyroxine Sodium
76
Lisinopril
73
Metformin Hcl
67
Omeprazole
67
Hydrochlorothiazide
61
Pantoprazole Sodium
54
Metoprolol Succinate
51

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

Gerontology Nurse Practitioner Overview

How TAMBRA GUINN, MSN, APRN, AGPCNP-BC fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

TAMBRA GUINN, MSN, APRN, AGPCNP-BC's 2,317 claims are above the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Texas

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

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

Frequently Asked Questions

What is TAMBRA GUINN, MSN, APRN, AGPCNP-BC's specialty?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC specializes in Gerontology Nurse Practitioner and practices in IRVING, Texas. Credentials: MSN, APRN, AGPCNP-BC.
How much does TAMBRA GUINN, MSN, APRN, AGPCNP-BC prescribe under Medicare Part D?
In 2023, TAMBRA GUINN, MSN, APRN, AGPCNP-BC wrote 2,317 Medicare Part D claims totaling $124K in drug costs for 78 beneficiaries.
Where is TAMBRA GUINN, MSN, APRN, AGPCNP-BC located?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC is located at 4545 FULLER DR STE 330, IRVING, TX, 75038. Phone: (972) 871-0100.
What is TAMBRA GUINN, MSN, APRN, AGPCNP-BC's NPI number?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC's National Provider Identifier (NPI) is 1558884809, issued on 07/19/2017.
Does TAMBRA GUINN, MSN, APRN, AGPCNP-BC prescribe more brand-name or generic drugs?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC's prescribing is 10% brand-name and 90% generic drugs by claim count, with $97K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does TAMBRA GUINN, MSN, APRN, AGPCNP-BC prescribe most often?
Based on 2023 Medicare Part D data, TAMBRA GUINN, MSN, APRN, AGPCNP-BC's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TAMBRA GUINN, MSN, APRN, AGPCNP-BC accept Medicare?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC appears in CMS Medicare data with 2,317 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TAMBRA GUINN, MSN, APRN, AGPCNP-BC's credentials?
TAMBRA GUINN, MSN, APRN, AGPCNP-BC's NPI is 1558884809 with credentials MSN, APRN, AGPCNP-BC. 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