Individual provider Active NPI

Jasmine Gutierrez, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1013362953
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2023-1298 Issued in NM
Practice address
6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Phone
(505) 292-1818
Fax
(505) 293-2952
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2023-1298 NM Primary
Family Medicine Physician 207Q00000X A164172 CA

Addresses

Primary practice location

6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369

Mailing address

6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Phone (505) 621-8669

Other names 1

  • Jasmine Nanez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030003892 NM Practitioner - Family Practice 5294160123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manzanilla Health LLCGroup PAC ID 8224551072, 2 clinicians

Practice addresses (Care Compare)

6727 Academy Rd NE
Suite C
Albuquerque, NM 87109-3369
Phone (505) 292-1818

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A164172CAMDFamily Medicine Physician
MD2023-1298NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manzanilla Health LLC Family Medicine CurrentSince Mar 26, 2025 Accepting new patients

Locations

6727 Academy Rd NE
Ste C
Albuquerque, NM 87109
Phone (505) 292-1818

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1013362953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 ACADEMY RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093369",
            "telephone_number": "505-621-8669",
            "fax_number": "505-293-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 ACADEMY RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093369",
            "telephone_number": "505-292-1818",
            "fax_number": "505-293-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JASMINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2023-1298",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "NANEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.