Felicity Melodee Guajardo, APRN-AGCNS-BC
NPI 1023470366ActiveIndividual· Clinical Nurse Specialist· Lytle, TX
Clinical Nurse Specialist (APRN-AGCNS-BC) with Usacs Integrated Acute Care Services of Texas, PLLC and 1 other group, practicing in Lytle, Texas. Their prescriptions cost Medicare Part D more than their services did: $48,542 for 690 claims, against $15,436 paid for services in 2024. Abbvie Inc. was the largest of 4 companies reporting payments in 2025, $164.66 in all, mostly food and beverage. Lists Baptist Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023470366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-AGCNS-BC |
| Sole proprietor | No |
| NPI issued | Mar 25, 2016 |
| Last updated in NPPES | Mar 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist Primary | 364S00000X | AP130273 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 226 across 14 procedure codes |
| Paid by Medicare | $15,436 |
Part D prescriptions in 2024
| Prescriptions (claims) | 690 · 894 30-day fills |
|---|---|
| Patients | 210 |
| Total drug cost | $48,542 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Usacs Integrated Acute Care Services of Texas, PLLCKerrville, TX · 387 clinicians
- Kands Healthcare LLCConverse, TX · 8 clinicians
Hospital affiliations
- Baptist Medical CenterSan Antonio, TX
- Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX
Industry payments (Open Payments)
- 2025$164.66 · 8 payments from 4 companies
- 2024$602.91 · 34 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $109.40 | 5 |
| Abbott Laboratories | $23.95 | 1 |
| Currax Pharmaceuticals LLC | $16.78 | 1 |
| Astrazeneca Pharmaceuticals LP | $14.53 | 1 |
What the 2025 payments were for
- Food and Beverage$164.66 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records