Alanna Guess, NP-C
NPI 1306402680ActiveIndividual· Nurse Practitioner, Family· Fredericktown, MO
Nurse Practitioner, Family (NP-C) with Madison Medical Center Stockhoff Memorial Nursing Home, practicing in Fredericktown, Missouri. Their prescriptions cost Medicare Part D more than their services did: $11,264 for 453 claims, against $5,581 paid for services in 2024. Abbvie Inc. reported $17.94 in payments in 2025, mostly food and beverage. Lists Madison Medical Center as a hospital affiliation.
Overview
| NPI | 1306402680 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | May 13, 2019 |
| Last updated in NPPES | Sep 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F02190843 | MO |
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 - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 85 across 8 procedure codes |
| Paid by Medicare | $5,581 |
Part D prescriptions in 2024
| Prescriptions (claims) | 453 · 472 30-day fills |
|---|---|
| Patients | 201 |
| Total drug cost | $11,264 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Madison Medical Center Stockhoff Memorial Nursing HomeFredericktown, MO · 21 clinicians
Hospital affiliation
- Madison Medical CenterFredericktown, MO
Industry payments (Open Payments)
- 2025$17.94 · 1 payment from 1 company
- 2024$849.94 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $17.94 | 1 |
What the 2025 payments were for
- Food and Beverage$17.94 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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