Quick answers
- Does Nicole A. Guest accept Medicare assignment?
- Yes. Medicare's clinician data says Nicole A. Guest accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Nicole A. Guest see?
- In 2024, CMS data shows 248 Original Medicare patients and 1,262 services for Nicole A. Guest. This counts Original Medicare only and measures volume, not quality.
- What is Nicole A. Guest's NPI number?
- 1649755794. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Nicole A. Guest, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 248 |
|---|---|
| Services billed to Medicare | 1,262 |
| Different services or procedures | 17 |
| Participating Medicare provider | Yes |
| Average age of these patients | 70 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)568 services
- Testing for presence of drug, by chemistry analyzers (80307)292 services
- 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 (G0481)273 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)68 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)21 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- Arthritis75%
- High cholesterol74%
- Depression41%
- Diabetes38%
- Anxiety38%
Practice locations
Addresses where Nicole A. Guest is enrolled with Medicare (CMS data updated October 2, 2026).
- 3360 Tittabawassee RdSaginaw, MI 48604 (989) 583‑0310
- 4450 Fashion Square BlvdSaginaw, MI 48603 (989) 792‑4090
- 5570 State StSaginaw, MI 48603 (989) 583‑0100
Group practices
Medicare enrollment lists Nicole A. Guest as a member of these groups (CMS data updated October 2, 2026).
- Covenant Medical Center, Inc.480 clinicians in the group
- Comprehensive Pain Specialists, PLLC12 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Saginaw
Clinicians with the same Medicare primary specialty in Saginaw, MI — not a recommendation.
Other clinicians in Covenant Medical Center, Inc.
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2018 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1649755794 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians