RACHEL L GUENTHER NP
NPI 1346751120
Nurse Practitioner - Family in Jefferson, WI

Active since October 19, 2017PECOS EnrolledAccepts Medicare Assignment
840 W RACINE ST, JEFFERSON, WI 53549(920) 674-6000 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2022, Sep 11, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Rachel L Guenther Np NPPES

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

RACHEL L GUENTHER NP (NPI 1346751120) is an individual family provider in Jefferson, Wisconsin, licensed in Wisconsin (7983-33) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson Creek, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346751120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL L GUENTHERCredential: NP
Location Address840 W RACINE STJefferson, WI 53549-1053
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 568-5411 · Fax (920) 568-4004
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 19, 2017
Last NPPES UpdateOctober 7, 20225 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1346751120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 7983-33
840 W RACINE ST, Jefferson, WI 53549

Secondary Practice Location 1

Location 1400 Doctors CtJohnson Creek, WI 53038-9567 · Phone (920) 699-4000

Accepted 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

Rachel L 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 ID5698032563
PECOS Enrollment IDI20171130002495
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

2

Medicare enrollment records show Rachel Guenther reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
Internal Medicine
109 AIR PARK DR
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group

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 2

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53549 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers15 claims42 services$6.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
840 W RACINE ST
JEFFERSON, WI 53549
Nurse Practitioner
840 W RACINE ST
JEFFERSON, WI 53549
Nurse Practitioner (Family)
840 W RACINE ST
JEFFERSON, WI 53549
Physician Assistant
840 W RACINE ST
JEFFERSON, WI 53549
Family Medicine
840 W RACINE ST
JEFFERSON, WI 53549
Physician Assistant
840 W RACINE ST
JEFFERSON, WI 53549

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 Rachel Guenther's NPI number?

The NPI number for Rachel Guenther is 1346751120. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Rachel Guenther located?

Rachel Guenther practices at 840 W Racine St, Jefferson, WI 53549. The listed phone number is (920) 674-6000.

What is Rachel Guenther's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Guenther enrolled in Medicare?

Yes. Rachel 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 Rachel Guenther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Guenther reassigns Medicare benefits to 2 organizations: Fort Healthcare, Inc. (Fort Atkinson, WI) and Prohealth Medical Group Inc (Watertown, 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 Rachel Guenther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Guenther accept?

Health plans from Dean Health Plan and Network Health list Rachel 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.

When was this NPI record last updated?

The NPPES record for Rachel Guenther was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.