Individual provider Active NPI

Miguel Alejandro Gutierrez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1467260620
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11036851 Issued in FL
Practice address
2151 45TH St Ste 210
West Palm Beach, FL 33407-2015
Phone
(863) 261-8354
NPI assigned
Dec 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11036851 FL Primary

Addresses

Primary practice location

2151 45TH St Ste 210
West Palm Beach, FL 33407-2015

Mailing address

308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone (863) 261-8354

Other practice location 1

308 NW 5th Ave
Okeechobee, FL 34972-2568
Phone (863) 261-8354

Other practice location 2

9076 Alexandra Cir
Wellington, FL 33414-6442
Phone (561) 635-5274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250121002039 FL Practitioner - Nurse Practitioner 3375072309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Haven LLCGroup PAC ID 7911212634, 25 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone (516) 640-6937

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Aug 15, 2025 Accepting new patients
Health Haven LLC CurrentSince Jan 8, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Aug 15, 2025 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

2151 45th St
Ste 210
West Palm Beach, FL 33407
Phone (561) 285-3623

4400 N Congress Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 285-3623

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • Direct secure messaging: miguel.gutierrez.1@18387.direct.athenahealth.com

Organizations & group practices 3

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": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1467260620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072015",
            "telephone_number": "863-261-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 NW 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349722568",
            "country_code": "US",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9076 Alexandra Cir",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146442",
            "country_code": "US",
            "telephone_number": "561-635-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MIGUEL",
        "middle_name": "ALEJANDRO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11036851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.