Individual provider Active NPI

Ingrid Denise Gutierrez, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1366794174
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP123391 Issued in TX
Practice address
12221 Merit Dr.
Ste 1500
Dallas, TX 75251
Phone
(214) 217-1900
Fax
(214) 217-1912
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP123391 TX Primary

Addresses

Primary practice location

12221 Merit Dr.
Ste 1500
Dallas, TX 75251

Mailing address

12221 Merit Dr.
Ste. 1500
Dallas, TX 75251
Phone (214) 217-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021002317 TX Practitioner - Nurse Practitioner 5294986501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians

Practice addresses (Care Compare)

7146 Baker Blvd
Richland Hills, TX 76118-5801
Phone (954) 939-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Matrix, PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Questcare Matrix, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Ford Center for Pain Management CurrentSince Sep 30, 2012 Accepting new patients
Questcare Matrix, PLLC Nurse Practitioner Current Accepting new patients
Questcare Hospitalists PLLC Nurse Practitioner CurrentSince Sep 1, 2015 Accepting new patients
Dennis Clifford Ford MD PastSince Sep 30, 2012 Accepting new patients

Locations

2020 Keith St NW
Ste C
Cleveland, TN 37311
Phone (423) 400-3937

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

12221 Merit Dr
Ste 1500
Dallas, TX 75251
Phone (214) 217-1900

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701

850 12th Ave
Ft Worth, TX 76104
Phone (210) 493-3165

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

521 W 7th St
Weatherford, TX 76086
Phone (814) 594-8713

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1366794174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "STE. 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "214-217-1900",
            "fax_number": "214-217-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "STE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "214-217-1900",
            "fax_number": "214-217-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "INGRID",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP123391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.