Individual provider Active NPI

Jennifer Renee Guthrie, PAC

  • Medical Physician Assistant
  • Seymour, IN
National Provider Identifier
1326054230
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000450A Issued in IN
Practice address
2026 N Ewing St
Seymour, IN 47274-3480
Phone
(812) 524-3333
Fax
(812) 524-3334
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000450A IN Primary

Addresses

Primary practice location

2026 N Ewing St
Seymour, IN 47274-3480

Mailing address

2026 N Ewing St
Seymour, IN 47274-3480
Phone (812) 524-3333

Other identifiers 2

IdentifierTypeStateIssuer
10000450AOtherINHEALTH PROFESSIONS BUREAU
1000450AOtherININDIANA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000118 IN Practitioner - Physician Assistant 4385736578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical Center PCGroup PAC ID 8325108038, 11 clinicians

Practice addresses (Care Compare)

2026 N Ewing St
Seymour, IN 47274-3480
Phone (812) 524-3333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000450AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Jan 1, 2022 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010

1366 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-3524

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Interoperability endpoints

  • Direct secure messaging: jenniferguthrie@fmcent.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1326054230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N EWING ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743480",
            "telephone_number": "812-524-3333",
            "fax_number": "812-524-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N EWING ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743480",
            "telephone_number": "812-524-3333",
            "fax_number": "812-524-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000450A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PROFESSIONS BUREAU",
            "identifier": "10000450A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "1000450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.