Individual provider Active NPI

Steven B Gutwillig, ARNP

  • Family Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1003886540
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN253069 Issued in MA
Practice address
87 N Main St
Leominster, MA 01453-5507
Phone
(978) 534-8701
Fax
(978) 534-8705
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 05095723 NH
Family Nurse Practitioner 363LF0000X 253069 MA
Nurse Practitioner 363L00000X RN253069 MA
Family Nurse Practitioner 363LF0000X RN253069 MA Primary

Addresses

Primary practice location

87 N Main St
Leominster, MA 01453-5507

Mailing address

87 N Main St
Leominster, MA 01453-5507
Phone (978) 534-8701

Other identifiers 1

IdentifierTypeStateIssuer
30343142MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041005000790 NH Practitioner - Nurse Practitioner 5597724690 Reassigns benefits to 1 organization
I20150710001965 MA Practitioner - Nurse Practitioner 5597724690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Newburyport Emergency Physicians, PLLCGroup PAC ID 4688193071, 55 clinicians
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1000

300 Main St
Nashua, NH 03060-4635
Phone (603) 810-7470

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN253069MAMDNurse Practitioner
253069MAMDFamily Nurse Practitioner
05095723NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd, PLLC CurrentSince Oct 15, 2024 Accepting new patients
Newburyport Emergency Physicians, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Clearchoicemd, PLLC CurrentSince Oct 15, 2024 Accepting new patients
Amoskeag Health Past Accepting new patients
Elliot Professional Services Past Accepting new patients
Merrimack Emergency Physicians Past Accepting new patients
NH Eye Associates PLLC Past Accepting new patients

Locations

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

10 Ferry St
Ste 302
Concord, NH 03301

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

300 Main St
Nashua, NH 03060
Phone (603) 579-5445

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFACA/Endpoint/FEFACA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1003886540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535507",
            "telephone_number": "978-534-8701",
            "fax_number": "978-534-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535507",
            "telephone_number": "978-534-8701",
            "fax_number": "978-534-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTWILLIG",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "05095723",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "253069",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN253069",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN253069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30343142",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.