MARIANNE GUTHRIE
NPI 1609313758
Nurse Practitioner in O Fallon, IL

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3 SAINT ELIZABETH BLVD STE 200, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Jan 27, 2017 (2 updates tracked since 2017).

About Marianne Guthrie NPPES

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

MARIANNE GUTHRIE (NPI 1609313758) is an individual nurse practitioner in O Fallon, Illinois, licensed in Illinois (209015404) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609313758
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARIANNE GUTHRIE
Location Address3 SAINT ELIZABETH BLVD STE 200O Fallon, IL 62269-1281
Mailing Address3 Saint Elizabeth Blvd Ste 200O Fallon, IL 62269-1281 · (618) 234-2120
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2017
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
NPI 1609313758 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 IL · 209015404
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.
3 SAINT ELIZABETH BLVD STE 200, O Fallon, IL 62269

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

Marianne Guthrie 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 ID345524583
PECOS Enrollment IDI20170307000704
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.

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Anesthesiology (Pain Medicine)
3 SAINT ELIZABETH BLVD STE 200
O FALLON, IL 62269

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 Marianne Guthrie's NPI number?

The NPI number for Marianne Guthrie is 1609313758. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Marianne Guthrie located?

Marianne Guthrie practices at 3 Saint Elizabeth Blvd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Marianne Guthrie's specialty?

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

Is Marianne Guthrie enrolled in Medicare?

Yes. Marianne Guthrie 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.

Is Marianne Guthrie affiliated with any hospitals?

According to CMS data, Marianne Guthrie is affiliated with Hshs St Elizabeth's Hospital and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Marianne Guthrie was last updated on December 29, 2021. 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.