Individual provider Active NPI

Eric M Guffin, ACNP-AG

  • Acute Care Nurse Practitioner
  • Leander, TX
National Provider Identifier
1720515794
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP133999 Issued in TX
Practice address
207 Presidio Dr
Leander, TX 78641-9428
Phone
(210) 244-3699
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP133999 TX Primary

Addresses

Primary practice location

207 Presidio Dr
Leander, TX 78641-9428

Mailing address

207 Presidio Dr
Leander, TX 78641-9428
Phone (210) 244-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180117000550 TX Practitioner - Nurse Practitioner 8022377266 Reassigns benefits to 1 organization
I20250617000793 KY Practitioner - Nurse Practitioner 8022377266 Reassigns benefits to 1 organization
I20250825001054 TN Practitioner - Nurse Practitioner 8022377266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

360 Amsden Ave
Versailles, KY 40383-1851
Phone (214) 960-5681

935 Wayne Rd
Savannah, TN 38372-1904
Phone 214960568175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133999TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Dec 18, 2017 Accepting new patients

Locations

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

Interoperability endpoints

  • Direct secure messaging: eguffin863930@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1720515794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PRESIDIO DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419428",
            "telephone_number": "210-244-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PRESIDIO DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419428",
            "telephone_number": "210-244-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUFFIN",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "ACNP-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP133999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.