Charise Yvonne Guadarrama, PA
NPI 1124046305ActiveIndividual· Physician Assistant· Jackson Heights, NY
Physician Assistant (PA) with North Shore Lij Urgent Care PC, practicing in Jackson Heights, New York. 465 Medicare patients in 2024, $49,607 paid; nearly all of their 376 Part D prescriptions were generic (91%). Abbvie Inc. reported $17.58 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124046305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Jun 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 011162 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 465 |
|---|---|
| Services billed | 978 across 44 procedure codes |
| Paid by Medicare | $49,607 |
Part D prescriptions in 2024
| Prescriptions (claims) | 376 · 400 30-day fills |
|---|---|
| Patients | 286 |
| Total drug cost | $4,743 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore Lij Urgent Care PCPlainview, NY · 390 clinicians
Industry payments (Open Payments)
- 2024$17.58 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $17.58 | 1 |
What the 2024 payments were for
- Food and Beverage$17.58 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Jackson Heights
- 1033590260
- 1336753763
- 1114004744
- 1285458679
- 1144021072
- 1851601314
- 1285821892
- 1811336167
- 1164306213
- 1023921350
- 1649128638
- 1053280339