Gustavo Alberto Ramirez Guillen, ARNP
NPI 1164189692ActiveIndividual· Nurse Practitioner, Family· Kissimmee, FL
Nurse Practitioner, Family (ARNP) with Florida Hospital Medical Group Inc, practicing in Kissimmee, Florida. Their prescriptions cost Medicare Part D more than their services did: $47,321 for 352 claims, against $1,027 paid for services in 2024. Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $796.69 in all, mostly food and beverage. Lists Adventhealth Orlando as a hospital affiliation.
Overview
| NPI | 1164189692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Nov 18, 2021 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | ARNP11015841 | FL |
| Nurse Practitioner | 363L00000X | ARNP11015841 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 17 across 5 procedure codes |
| Paid by Medicare | $1,027 |
Part D prescriptions in 2024
| Prescriptions (claims) | 352 · 409 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $47,321 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Florida Hospital Medical Group IncOrlando, FL · 1,755 clinicians
Hospital affiliation
- Adventhealth OrlandoOrlando, FL
Industry payments (Open Payments)
- 2025$796.69 · 37 payments from 11 companies
- 2024$99.55 · 4 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $333.97 | 16 |
| Takeda Pharmaceuticals U.S.A., Inc. | $104.57 | 5 |
| Lilly USA, LLC | $76.64 | 4 |
| Madrigal Pharmaceuticals | $58.28 | 2 |
| Mallinckrodt Hospital Products Inc. | $45.28 | 2 |
What the 2025 payments were for
- Food and Beverage$796.69 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 252 family nurse practitioners in Kissimmee · All family nurse practitioners in Florida