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MICHELLE GUENTHER NP
NPI 1285206201
Nurse Practitioner in Hartford, WI

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
1640 E SUMNER ST, HARTFORD, WI 53027(262) 670-4000(262) 670-4451 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2024, Aug 24, 2023, Dec 8, 2021 and 2 more (5 updates tracked since 2021).

About Michelle Guenther Np NPPES

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

MICHELLE GUENTHER NP (NPI 1285206201) is an individual nurse practitioner in Hartford, Wisconsin, licensed in Wisconsin (11168) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285206201
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE GUENTHERCredential: NP
Location Address1640 E SUMNER STHartford, WI 53027-2684
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 670-4000
Fax(262) 670-4451
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 12, 2021
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1285206201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 11168
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1640 E SUMNER ST, Hartford, WI 53027
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Other Identifiers 1

Medicaid100178445WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Guenther Np 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 ID8729483094
PECOS Enrollment IDI20210825000352
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michelle Guenther reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
15 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Aurora Advanced Healthcare, Inc.
23 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Medical Group, Inc.
27 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lakeshore Medical Clinic, LLC
34 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

SARA C POUPORE NP
Nurse Practitioner
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
DANIELLE M MBIDA RN
Registered Nurse
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
MICHAEL J LONG M.D.
Family Medicine
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
KAYLA CHAPMAN
Surgery
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
RACHEL ELIZABETH BURTKA CCC-SLP
Speech-Language Pathologist
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
BRITTA BRADEN PA
Physician Assistant
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
BRUCE EDWARD HICKMAN MD
Family Medicine
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000
SHELBY L HELMEID O.D.
Optometrist
1640 E SUMNER ST
HARTFORD, WI 53027
Washington County (262) 670-4000

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 Michelle Guenther's NPI number?

The NPI number for Michelle Guenther is 1285206201. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Michelle Guenther located?

Michelle Guenther practices at 1640 E Sumner St, Hartford, WI 53027. The listed phone number is (262) 670-4000.

What is Michelle Guenther's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Guenther enrolled in Medicare?

Yes. Michelle Guenther 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.

Which organizations bill Medicare for Michelle Guenther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Guenther reassigns Medicare benefits to 4 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Guenther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Guenther accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Michelle Guenther 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 Michelle Guenther affiliated with any hospitals?

According to CMS data, Michelle Guenther is affiliated with Aurora Medical Ctr Washington County.

When was this NPI record last updated?

The NPPES record for Michelle Guenther was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.