Sarah Renee Guthard, PA-C, ATC
Individual provider Active NPI Physician Assistant · Kearney, NE
NPI 1235795808 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1235795808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2431 (NE)
- Practice address
- 615 W 39TH St
Kearney, NE 68845-8045 - Phone
- (308) 865-2277
- NPI assigned
- May 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT Physicians of Kearney PC
Practice addresses (Care Compare)
615 W 39TH St
Kearney, NE 68845-8045
Phone (308) 865-2277
Hospital & facility affiliations
- CHI Health Good Samaritan
- Kearney Regional Medical Center
- Lexington Regional Health Center
- Smith County Memorial Hospital
- Callaway District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.34 of 100
- Quality
- 52.69
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302001997 | NE | Practitioner - Physician Assistant | 6103253281 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2431 | NE | MD | Emergency Medicine Physician |
| 855 | NE | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Co Health Services | Current | Accepting new patients | |
| Kearney Co Health Services | Physician Assistant | Current |
Accepting new patients |
| Allergy, Asthma & Immunology Associates P.C. | Past |
Accepting new patients |
Locations
727 E 1st St
Minden, NE 68959
Phone (308) 832-1440
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/afb10dcd-fcfe-4394-bcee-f9c44a02df40/
- sarah.craft.1@16359.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 855 | NE | |
| Physician Assistant | 363A00000X | 2431 | NE | Yes |
Addresses
Primary practice location
615 W 39TH St
Kearney, NE 68845-8045
Mailing address
1904 E 58TH St
Kearney, NE 68847-1008
Phone (941) 465-0050
Other practice location 1
2 Skyline Dr
Kearney, NE 68845-2860
Phone (941) 465-0050
Other practice location 2
2605 2nd Ave
Kearney, NE 68847-4416
Phone (308) 236-7016
Other providers in Kearney, NE
- Amanda Faye Grosse
- Benjamin Grossnicklaus
- Holly Lynn Groteluschen
- Growth on the Plains, LLC
- Amy Elaine Gumb
- Nancy Guthrie
- Jennifer Gutzwiller
- H5 Counseling LLC
- Sarah Marie Haahr
- Elizabeth Keel Haarberg
All providers in Kearney, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.