Individual provider Active NPI

Mercedes D. Gutierrez, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487149092
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9356194 Issued in FL
Practice address
1030 SW 72ND Ave
Miami, FL 33144-4640
Phone
(305) 244-4673
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209036320 IL
Family Nurse Practitioner 363LF0000X 95015974 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 9356194 FL Primary
Family Nurse Practitioner 363LF0000X 9356194 FL
Family Nurse Practitioner 363LF0000X 15282 CT

Addresses

Primary practice location

1030 SW 72ND Ave
Miami, FL 33144-4640

Mailing address

1030 SW 72ND Ave
Miami, FL 33144-4640
Phone (305) 244-4673

Other names 1

  • Mercedes Dianelys Gutierrez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, CA, TX, KY, MA, CT, NY, OH9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20191009002989 FL Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20201009002373 MI Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20201228001783 CA Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 2 organizations
I20210422001008 TX Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20220324002307 KY Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20230322000654 MA Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20250905000268 CT Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization
I20260321000212 NY Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 2 organizations
I20260331003416 OH Practitioner - Nurse Practitioner 1254662000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 SW 72ND Ave
Miami, FL 33144-4640

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

200 Oceangate
Suite 100
Long Beach, CA 90802-4317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95015974CAMDFamily Nurse Practitioner
15282CTMDFamily Nurse Practitioner
9356194FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. Multi-Specialty CurrentSince Dec 22, 2025 Accepting new patients
Lifequest Health Solutions, LLC Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: mgutierrez9971@direct-prd.molinahealthcare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1487149092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444640",
            "telephone_number": "305-244-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444640",
            "telephone_number": "305-244-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MERCEDES",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209036320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015974",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9356194",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9356194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "GUTIERREZ",
            "middle_name": "DIANELYS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.