Individual provider Active NPI

Jennifer Denise Guthrie, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1639775430
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11016 Issued in AZ
Practice address
1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144
Phone
(480) 677-8282
Fax
(888) 316-1686
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010790 MI
Physician Assistant 363A00000X 11016 AZ Primary

Addresses

Primary practice location

1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
237606MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250617002288 AZ Practitioner - Physician Assistant 2567850423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians
American Current Care of Arizona PAGroup PAC ID 5991886020, 20 clinicians

Practice addresses (Care Compare)

1035 N Ellsworth Rd
Suite 108
Mesa, AZ 85207-5144
Phone (480) 667-8282

1110 E Route 66
Suite 100
Flagstaff, AZ 86001-4772
Phone (928) 773-9695

1818 E Sky Harbor Cir N
Suite 150
Phoenix, AZ 85034-3410
Phone (602) 244-9500

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Dec 3, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Livn, P.C. Past Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Organizations & group practices 6

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1639775430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ELLSWORTH RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075144",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010790",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237606",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.