Individual provider Active NPI

Rachel L Guenther, NP

  • Family Nurse Practitioner
  • Jefferson, WI
National Provider Identifier
1346751120
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7983-33 Issued in WI
Practice address
840 W Racine St
Jefferson, WI 53549-1053
Phone
(920) 674-6000
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7983-33 WI Primary

Addresses

Primary practice location

840 W Racine St
Jefferson, WI 53549-1053

Mailing address

PO Box 249
Fort Atkinson, WI 53538-0249
Phone (920) 568-5411

Other practice location 1

400 Doctors Ct
Johnson Creek, WI 53038-9567
Phone (920) 699-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20171130002495 WI Practitioner - Nurse Practitioner 5698032563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 928-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7983-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc. CurrentSince Mar 1, 2024 Accepting new patients
Prohealth Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Fort Healthcare Inc CurrentSince Jan 2, 2018 Accepting new patients
Fort Healthcare Inc CurrentSince Jan 2, 2018 Accepting new patients
Watertown Physician Practices LLC Past Accepting new patients

Locations

195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

840 W Racine St
Jefferson, WI 53549
Phone (920) 674-6000

400 Doctors Ct
Johnson Creek, WI 53038
Phone (920) 699-4000

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500

1185 Corporate Center Dr
Ste 150
Oconomowoc, WI 53066
Phone (262) 928-5000

N57W24950 N Corporate Cir
Sussex, WI 53089
Phone (262) 544-4411

109 Air Park Dr
Watertown, WI 53094
Phone (262) 928-5100

721 American Ave
Ste 310
Waukesha, WI 53188
Phone (262) 928-4880

1011 Spring City Dr
Waukesha, WI 53186
Phone (262) 925-0370

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1346751120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535380249",
            "telephone_number": "920-568-5411",
            "fax_number": "920-568-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W RACINE ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491053",
            "telephone_number": "920-674-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Johnson Creek",
            "state": "WI",
            "postal_code": "530389567",
            "country_code": "US",
            "telephone_number": "920-699-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUENTHER",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7983-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

Verify at the official NPI Registry.