Active NPI
Steven B Gutwillig, ARNP
- Family Nurse Practitioner
- Leominster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN253069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30343142 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PLLCClearchoicemd, PLLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN253069 | MA | MD | Nurse Practitioner |
| 253069 | MA | MD | Family Nurse Practitioner |
| 05095723 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd, PLLC | Current | Accepting new patients | |
| Newburyport Emergency Physicians, PLLC | Current | Accepting new patients | |
| Clearchoicemd, PLLC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
MA
-
- Urgent Care Clinic/Center
- Alton, NH
- NPI 1720705403
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1225625643
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Emergency Care Clinic/Center
- Manchester, NH
- NPI 1881635837
-
- Ophthalmology Physician
- Manchester, NH
- NPI 1518044213
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.