Doctor profile · Federal record

Dr. Nicole Guest, FNP-C

Family Nurse Practitioner (CMS: Nurse Practitioner) · Saginaw, MI

  • NPI 1649755794
  • Accepts Medicare
  • 8 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4450 Fashion Square Blvd
Saginaw, MI 486031251
(989) 792-4090

Credentials & registration

NPPES · NUCC
NPI registered
September 2018 — 8 yrs on file
Profile last updated
February 1, 2021
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Michigan #4704270132

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1649755794. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,273
Distinct HCPCS
7
Medicare allowed
$142,720
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 660 228 $94
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 212 147 $192
80307 Testing for presence of drug, by chemistry analyzers 148 118 $60
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 122 103 $153
99213 Established patient office or other outpatient visit, 20-29 minutes 67 59 $70
99204 New patient office or other outpatient visit, 45-59 minutes 53 53 $128
63685 Insertion of spinal neurostimulator generator or receiver 11 11 $46

In context: peer comparison

Among 49 peers in Saginaw Family Nurse Practitioner, average services per provider: 77. This provider delivers 17× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$93
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 2 $40.53
Si-Bone, INC. 1 $26.68
Nevro Corp. 1 $25.50

By nature of payment

Food and Beverage
$93

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
6,251
Patients
1,069
Total drug cost
$257,625
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 2,184 324 $49,198
Gabapentin Generic 661 143 $12,843
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 582 84 $18,881
Tramadol Hcl Generic 515 91 $3,541
Buprenorphine Hcl Generic 375 62 $16,674
Morphine Sulfate ER (Morphine Sulfate) Brand 336 42 $13,355
Buprenorphine Generic 257 60 $79,435
Fentanyl Generic 243 38 $28,537
Baclofen Generic 220 51 $5,113
Tizanidine Hcl Generic 210 47 $2,751

Frequently asked questions

Auto-generated from federal data
What is Dr. Nicole Guest's medical specialty?
Dr. Nicole Guest practices Family Nurse Practitioner in Saginaw, MI.
Where does Dr. Nicole Guest practice?
Dr. Nicole Guest practices at 4450 Fashion Square Blvd, Saginaw, MI 486031251. Office phone: 9897924090.
What is Dr. Nicole Guest's NPI?
Dr. Nicole Guest's National Provider Identifier (NPI) is 1649755794, issued by NPPES.
Does Dr. Nicole Guest accept Medicare assignment?
Yes. Dr. Nicole Guest accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Guest commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS G0482); Testing for presence of drug, by chemistry analyzers (HCPCS 80307). Source: CMS Medicare Physician & Other Practitioners file.