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GUERLINE SINSMYR MD
NPI 1255715462
Internal Medicine in Creston, IA

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment
1700 W TOWNLINE ST, CRESTON, IA 50801(641) 782-3947 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Nov 9, 2023, May 14, 2018 (3 updates tracked since 2018).

About Guerline Sinsmyr Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUERLINE SINSMYR MD (NPI 1255715462) is an individual internal medicine provider in Creston, Iowa, licensed in Iowa (MD-51655) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Dallas County Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255715462
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGUERLINE SINSMYRCredential: MD
Location Address1700 W TOWNLINE STCreston, IA 50801-1054
Mailing Address1700 W Townline StCreston, IA 50801-1054 · (678) 428-8574
Phone(641) 782-3947
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2015
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1255715462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · MD-51655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1700 W TOWNLINE ST, Creston, IA 50801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1374 Stockholm StBrooklyn, NY 11237-4006 · Phone (718) 963-7272
Location 2506 Lenox AveNew York, NY 10037 · Phone (212) 939-1406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guerline Sinsmyr Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456714989
PECOS Enrollment IDI20230830003162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dallas County Hospital

Critical Access Hospitals · Perry, IA
OwnershipGovernment - Local
CMS Certification Number161322
Location610 Tenth StreetPerry, IA 50220 · Dallas County
Emergency services

Greater Regional Medical Center

Critical Access Hospitals · Creston, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161365
Location1700 West Townline StreetCreston, IA 50801 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAL TREATMENT CENTERS-ILLINOIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 278-3009
KRISTEN KRAKOVEC MD
Family Medicine
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-2131
ALLISON MARIE MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-7091
GREATER COMMUNITY HOSPITAL DME
Durable Medical Equipment & Medical Supplies
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-7091
DARLA K SOBOTKA PA-C
Physician Assistant
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-3642
ADRIANNA CLEOPATRA SHUEY DO
Internal Medicine
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-2131
MRS. GINA MICHELLE LATHAM FNP-C
Nurse Practitioner (Family)
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-7091
MRS. JESSICA CRANDALL ARNP - FNP
Nurse Practitioner (Family)
1700 W TOWNLINE ST
CRESTON, IA 50801
Union County (641) 782-7091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guerline Sinsmyr's NPI number?

The NPI number for Guerline Sinsmyr is 1255715462. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Guerline Sinsmyr located?

Guerline Sinsmyr practices at 1700 W Townline St, Creston, IA 50801. The listed phone number is (641) 782-3947.

What is Guerline Sinsmyr's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Guerline Sinsmyr enrolled in Medicare?

Yes. Guerline Sinsmyr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Guerline Sinsmyr accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Guerline Sinsmyr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guerline Sinsmyr affiliated with any hospitals?

According to CMS data, Guerline Sinsmyr is affiliated with Dallas County Hospital and Greater Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Guerline Sinsmyr was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.