2026 NPPES data Family Nurse Practitioner NPI 1790755395 ARNP/ PMHNP
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Cynthia Guthmiller, ARNP/ PMHNP

Family Nurse Practitioner in Sioux City, Iowa. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
932
Medicare Part D claims · 51 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$264.38
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Cynthia Guthmiller, ARNP/ PMHNP filed 932 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Sioux City, Iowa, prescribing 84% generic.

932
Part D claims, 2023
84%
generic prescribing
$264.38
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Cynthia Guthmiller, ARNP/ PMHNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

932 Top 25% higher than 75% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Cynthia Guthmiller, ARNP/ PMHNP?

Quality data not reported

NPI registry status

Active

Issued 01/25/2006

NPI 1790755395

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

932 24% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Iowa

How Family Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers

Largest specialties in Iowa (% of in-state providers)

Pharmacist - 6.6%Pharmacist6.6%Physical Therapist - 5.5%Physical Therapist5.5%Mental Health Counselor - 5%Mental Health Counselor5%Family Medicine Physician - 4.8%Family Medicine Physician4.8%Chiropractor - 4.2%Chiropractor4.2%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Family Nurse Practitioner - 3.9%Family Nurse Practitioner3.9%
Largest specialties in Iowa (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Cynthia Guthmiller, ARNP/ PMHNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding ARNP/ PMHNP credentials at 625 COURT STREET, Sioux City, IA, 51101, with a listed phone of (712) 252-3871. NPI 1790755395 was issued on 01/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Guthmiller most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 932 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $186K in drug spend, split 16% brand-name and 84% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

625 COURT STREET
Sioux City, IA 51101

Provider Details

NPI 1790755395
Specialty Family Nurse Practitioner
Credentials ARNP/ PMHNP
Gender Female
NPI Issued 01/25/2006

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Cynthia Guthmiller, ARNP/ PMHNP. Source: openpaymentsdata.cms.gov.

Total received

$264

Largest payer

Supernus Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Cynthia Guthmiller, ARNP/ PMHNP - brand share 16.0%
Family Nurse Practitioner average

16% brand-name claims vs 84% generic, on 932 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

932
Total Claims
$186K
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,150
Total Day Supply
27,754
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$163K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
48.3 years
Avg HCC Risk Score
1.54
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Cynthia Guthmiller, ARNP/ PMHNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Vraylar
Cariprazine Hcl
87
Bupropion Xl
Bupropion Hcl
75
Divalproex Sodium Er
Divalproex Sodium
64
Aripiprazole
62
Trazodone Hcl
59
Quetiapine Fumarate
49
Duloxetine Hcl
41
Hydroxyzine Pamoate
37
Venlafaxine Hcl Er
Venlafaxine Hcl
34
Desvenlafaxine Succinate Er
Desvenlafaxine Succinate
33

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How Cynthia Guthmiller, ARNP/ PMHNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Cynthia Guthmiller, ARNP/ PMHNP's 932 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Guthmiller.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Iowa medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Cynthia Guthmiller, ARNP/ PMHNP's specialty?
Cynthia Guthmiller, ARNP/ PMHNP specializes in Family Nurse Practitioner and practices in Sioux City, Iowa. Credentials: ARNP/ PMHNP.
How much does Cynthia Guthmiller, ARNP/ PMHNP prescribe under Medicare Part D?
In 2023, Cynthia Guthmiller, ARNP/ PMHNP wrote 932 Medicare Part D claims totaling $186K in drug costs for 51 beneficiaries.
Where is Cynthia Guthmiller, ARNP/ PMHNP located?
Cynthia Guthmiller, ARNP/ PMHNP is located at 625 COURT STREET, Sioux City, IA, 51101. Phone: (712) 252-3871.
What is Cynthia Guthmiller, ARNP/ PMHNP's NPI number?
Cynthia Guthmiller, ARNP/ PMHNP's National Provider Identifier (NPI) is 1790755395, issued on 01/25/2006.
Does Cynthia Guthmiller, ARNP/ PMHNP prescribe more brand-name or generic drugs?
Cynthia Guthmiller, ARNP/ PMHNP's prescribing is 16% brand-name and 84% generic drugs by claim count, with $163K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Cynthia Guthmiller, ARNP/ PMHNP prescribe most often?
Based on 2023 Medicare Part D data, Cynthia Guthmiller, ARNP/ PMHNP's most frequently prescribed drugs include Vraylar, Bupropion Xl, Divalproex Sodium Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cynthia Guthmiller, ARNP/ PMHNP accept Medicare?
Cynthia Guthmiller, ARNP/ PMHNP appears in CMS Medicare data with 932 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cynthia Guthmiller, ARNP/ PMHNP's credentials?
Cynthia Guthmiller, ARNP/ PMHNP's NPI is 1790755395 with credentials ARNP/ PMHNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.