Karen Guess, APN
NPI 1366626210 · Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366626210
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- AP112344 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
51 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 51 | $100 |
Typical Medicare-allowed amounts for these services range $100–$100 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 79 | 16 |
| Sertraline Hcl | 56 | 12 |
| Fluoxetine Hcl | 53 | 12 |
| Gabapentin | 47 | — |
| Bupropion Hclbrand: Bupropion Xl | 47 | — |
| Lithium Carbonate | 43 | — |
| Trazodone Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 1818 Corsicana StDallas, TX 75201-6102Phone: (214) 330-0036Fax: (214) 337-3905
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.