Joshua Robert Guynn, MSN, FNP-BC
NPI 1417730441ActiveIndividual· Nurse Practitioner, Adult Health· Pensacola, FL
Nurse Practitioner, Adult Health (MSN, FNP-BC) with Sacred Heart Health System Inc, practicing in Pensacola, Florida. Their prescriptions cost Medicare Part D more than their services did: $57,337 for 239 claims, against $3,480 paid for services in 2024. Novo Nordisk Inc was the largest of 4 companies reporting payments in 2025, $637.09 in all, mostly food and beverage. Lists Baptist Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1417730441 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2023 |
| Last updated in NPPES | Apr 1, 2025 |
| Certified by provider | Apr 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APRN11028928 | 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 | 38 |
|---|---|
| Services billed | 78 across 6 procedure codes |
| Paid by Medicare | $3,480 |
Part D prescriptions in 2024
| Prescriptions (claims) | 239 · 625 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $57,337 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sacred Heart Health System IncPensacola, FL · 389 clinicians
Hospital affiliations
- Baptist HospitalPensacola, FL
- Gulf Breeze HospitalGulf Breeze, FL
- Sacred Heart HospitalPensacola, FL
Industry payments (Open Payments)
- 2025$637.09 · 9 payments from 4 companies
- 2024$244.32 · 8 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $443.87 | 5 |
| Recor Medical Inc | $144.87 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $33.58 | 2 |
| Amgen Inc. | $14.77 | 1 |
What the 2025 payments were for
- Food and Beverage$637.09 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 46 adult health nurse practitioners in Pensacola · All adult health nurse practitioners in Florida