Active NPI
Guirlene Bastien Medard, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9353569
- Practice address
- 5664 SW 60TH Ave
Ocala, FL 34474-5677 - Phone
- (813) 666-2714
- Fax
- (352) 565-4131
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9353569 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9353569 | FL | Primary |
Addresses
Primary practice location
5664 SW 60TH Ave
Ocala, FL 34474-5677
Mailing address
5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone (305) 744-2154
Other practice location 1
125 NW 206th Ter
Miami, FL 33169-2616
Phone (305) 744-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116101400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 80.53
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9353569 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Sma Healthcare Inc | Current | Accepting new patients | |
| Harmony United Florida, LLC | Current | Accepting new patients | |
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Harmony United Pennsylvania PLLC | Past | Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555
3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100
15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1487507182
-
- Psychiatry Physician
- Winter Garden, FL
- NPI 1063842870
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Psychiatry Physician
- Pottstown, PA
- NPI 1790637874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1790346732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344745677",
"telephone_number": "305-744-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5664 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344745677",
"telephone_number": "813-666-2714",
"fax_number": "352-565-4131"
}
],
"practiceLocations": [
{
"address_1": "125 NW 206th Ter",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331692616",
"country_code": "US",
"telephone_number": "305-744-2154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDARD",
"first_name": "GUIRLENE",
"middle_name": "BASTIEN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9353569",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9353569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116101400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.