Rachel Leigh Guerra, APRON
NPI 1134891260ActiveIndividual· Nurse Practitioner, Primary Care· Grand Blanc, MI
Nurse Practitioner, Primary Care (APRON) in Grand Blanc, Michigan, licensed in MI, with an NPI issued in September 2021. 85 Medicare patients in 2024, $7,605 paid; nearly all of their 92 Part D prescriptions were generic (98%). Boston Scientific Corporation reported $22.17 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1134891260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRON |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2021 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 4704291455 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 102 across 8 procedure codes |
| Paid by Medicare | $7,605 |
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 93 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $359.13 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$22.17 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $22.17 | 1 |
What the 2025 payments were for
- Food and Beverage$22.17 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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