Individual provider Active NPI

Marianne Guthrie

  • Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1609313758
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015404 Issued in IL
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

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307000704 IL Practitioner - Nurse Practitioner 0345524583 Reassigns benefits to 3 organizations

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
Salem Township HospitalGroup PAC ID 0840195277, 26 clinicians

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 Hospital, Salem, IL, CCN 141345
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209015404ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Township Hospital CurrentSince Apr 28, 2024 Accepting new patients
Salem Township Hospital CurrentSince Apr 28, 2024 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 CurrentSince Mar 2, 2022 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Mar 2, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.