Individual provider Active NPI

Irina Guerard, A-GNP

  • Nurse Practitioner
  • Kingsville, MD
National Provider Identifier
1447872320
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG05200015 Issued in AL
Practice address
12 Ridgecliff CT
Kingsville, MD 21087-1253
Phone
(251) 213-3066
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG05200015 AL Primary

Addresses

Primary practice location

12 Ridgecliff CT
Kingsville, MD 21087-1253

Mailing address

12 Ridgecliff CT
Kingsville, MD 21087-1253
Phone (251) 213-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240810000112 MD Practitioner - Nurse Practitioner 7113323817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Hospital Center IncGroup PAC ID 6204739352, 90 clinicians

Practice addresses (Care Compare)

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone 410521220055633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
58.76
Promoting interoperability
0
Improvement activities
30
Cost
77.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0002307COMDMarriage & Family Therapist
AG05200015ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
67 On Tradd LLC CurrentSince Apr 20, 2025 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Northwest Hospital Center, Inc CurrentSince Jul 10, 2024 Accepting new patients
Northwest Hospital Center, Inc Current Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients

Locations

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Interoperability endpoints

  • Direct secure messaging: irina.guerard.1@15573.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1447872320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIDGECLIFF CT",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871253",
            "telephone_number": "251-213-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIDGECLIFF CT",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871253",
            "telephone_number": "251-213-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERARD",
        "first_name": "IRINA",
        "credential": "A-GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "AG05200015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, MD

Sources for this page

Verify at the official NPI Registry.