Individual provider Active NPI

Cassandra A. Guenthardt, NP-C

  • Family Nurse Practitioner
  • Manistee, MI
National Provider Identifier
1427729979
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704257000 Issued in MI
Practice address
1391 E Parkdale Ave
Manistee, MI 49660-9352
Phone
(231) 398-1878
Fax
(231) 398-1768
NPI assigned
Sep 24, 2021
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704257000 MI Primary
Family Medicine Physician 207Q00000X 470425700 MI

Addresses

Primary practice location

1391 E Parkdale Ave
Manistee, MI 49660-9352

Mailing address

3395 Stronach Rd
Manistee, MI 49660-9489
Phone (231) 510-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220721001059 MI Practitioner - Nurse Practitioner 3072994094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1293 E Parkdale Ave
Manistee, MI 49660-8904

1391 E Parkdale Ave
Manistee, MI 49660-9352

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
470425700MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Apr 6, 2022 Accepting new patients
Munson Healthcare Manistee Hospital Family Medicine CurrentSince Apr 6, 2022 Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

1293 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1735

1391 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1760

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1427729979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 STRONACH RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609489",
            "telephone_number": "231-510-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609352",
            "telephone_number": "231-398-1878",
            "fax_number": "231-398-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTHARDT",
        "first_name": "CASSANDRA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704257000",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "470425700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.