Active NPI
Marianne Guthrie
- Nurse Practitioner
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015404
- Practice address
- 3 Saint Elizabeth Blvd Ste 200
O Fallon, IL 62269-1281 - Phone
- (618) 234-2120
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209015404 | IL | Primary |
Addresses
Primary practice location
3 Saint Elizabeth Blvd Ste 200
O Fallon, IL 62269-1281
Mailing address
3 Saint Elizabeth Blvd Ste 200
O Fallon, IL 62269-1281
Phone (618) 234-2120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mguthrie158019@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Ricker Rd
Salem, IL 62881-4263
Phone 61854831948188
1321 W Whittaker St
STH Family Health Care Center
Salem, IL 62881-2013
Phone 61854831948188
Hospital & facility affiliations
- Salem Township Hospital
- HSHS St Elizabeth'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015404 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Township Hospital | Current | Accepting new patients | |
| Salem Township Hospital | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| Salem Township Hospital | Past | Accepting new patients |
Locations
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
1321 W Whittaker St
Salem, IL 62881
Phone (618) 548-0200
Interoperability endpoints
- mguthrie158019@ewd.direct.hshs.org
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Belleville, IL
- NPI 1194736728
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Rural Health Clinic/Center
- Salem, IL
- NPI 1649830472
-
- Plastic Surgery Physician
- Belleville, IL
- NPI 1558556878
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Salem, IL
- NPI 1265467195
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salem, IL
- NPI 1295739548
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1609313758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691281",
"telephone_number": "618-234-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691281",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "MARIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mguthrie158019@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3 Saint Elizabeth Blvd Ste 200",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691281",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.