Active NPI
Mitchell Gutierrez
- Registered Nurse
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 783491
- Practice address
- 5920 W William Cannon Dr Ste 150
Austin, TX 78749-1902 - Phone
- (512) 441-9799
- NPI assigned
- Sep 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 783491 | TX | Primary |
Addresses
Primary practice location
5920 W William Cannon Dr Ste 150
Austin, TX 78749-1902
Mailing address
5920 W William Cannon Dr Ste 150
Austin, TX 78749-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170223000236 | TX | Practitioner - Nurse Practitioner | 8325322159 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
St. David'S North Austin Medical Ce
Austin, TX 78758-2401
Phone (512) 901-1000
Hospital & facility affiliations
- Round Rock Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 783491 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Critical Care Medicine Services of Texas, PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients |
Locations
3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Cedar Park, TX
- NPI 1023522554
TX
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1023567666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 W WILLIAM CANNON DR STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 W WILLIAM CANNON DR STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491902",
"telephone_number": "512-441-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MITCHELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "783491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.