KRISTIN CAROLYNN GUTHRIE (PA-C) – Physician Assistant, NPI 1720637176

KRISTIN CAROLYNN GUTHRIE (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5737-23 (WI). The NPI Number for KRISTIN CAROLYNN GUTHRIE (PA-C) is 1720637176

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN CAROLYNN GUTHRIE (PA-C)
NPI
1720637176
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
9 September 2019
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7157603311
Graduation Year
2019 (7 years ago)
PAC ID
4183956428
Group Practice PAC ID
7911800586
Professional Enrollment ID
I20220204001688
Address ID
WI540239731RO503XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KRISTIN CAROLYNN GUTHRIE (PA-C)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health Integrated Care Campus - East Beltline, 2750, East Beltline Avenue Northeast, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495258614

    Phone: (616) 447-5820

    Type: Location

  • 342 N WATER ST STE 600

    MILWAUKEE, WI 532025715

    Phone: (651) 342-1039

    Fax: (651) 342-1428

    Type: Mailing

  • W150S7048 CORNELL CIR

    MUSKEGO, WI 531508987

    Phone: (440) 371-7624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220204001688IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes735222$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5842$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911800586View full group profile
NameSpecialtyState
Nurse PractitionerWI
Physician AssistantWI
Cardiovascular Disease (Cardiology), Internal MedicineMN
Physician AssistantCO
Certified Registered Nurse Anesthetist (Crna)OK
-WI
Nurse PractitionerMN
-WI
-WI
Hematology, Medical Oncology, Internal Medicine, Medical OncologyMN

Reviews

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Frequently asked questions

Where can patients find KRISTIN CAROLYNN GUTHRIE (PA-C)'s NPI?
You can confirm KRISTIN CAROLYNN GUTHRIE (PA-C) with NPI 1720637176; it appears in the national provider directory.
Does this profile mean KRISTIN CAROLYNN GUTHRIE (PA-C) is currently active?
Yes — KRISTIN CAROLYNN GUTHRIE (PA-C) appears active in the national provider directory.
What field does KRISTIN CAROLYNN GUTHRIE (PA-C) work in?
You can think of KRISTIN CAROLYNN GUTHRIE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN CAROLYNN GUTHRIE (PA-C)?
The snapshot lists Grand Rapids, Michigan for KRISTIN CAROLYNN GUTHRIE (PA-C); download NPPES for the complete set.
How can I contact KRISTIN CAROLYNN GUTHRIE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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