Kristin Carolynn Guthrie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5737-23 Issued in WI

Practice address

W150S7048 Cornell Cir
Muskego, WI 53150-8987

Phone

(440) 371-7624

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Carolynn Kenny Former name

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Wisconsin Health Hospital, Baldwin, WI, CCN 521347

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgutherie653525@excellian.direct.allina.com

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.

• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD (past)
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Care Compare affiliation

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1720637176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W150S7048 CORNELL CIR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508987",
            "telephone_number": "440-371-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W150S7048 CORNELL CIR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508987",
            "telephone_number": "440-371-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "KRISTIN",
        "middle_name": "CAROLYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5737-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KENNY",
            "middle_name": "CAROLYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Goetz, LMFT
• Nicole Lynn Goodno, FUNCTIONAL NUTRITION
• Amy Elizabeth Greig
• Erica Tayler Griesbaum
• Beth Marie Gundrum, P.T.
• Kayla Haas
• Robert Haas
• Marcia S Hanizeski, RN
• Melissa Harris-Petrick, DPT
• Angela Margaret Havaich, RN

• Physician Assistant in Muskego, WI
• Providers in Muskego, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.

Verify at the official NPI Registry.