Individual provider Active NPI

Sandra Gutierrez, FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1669937256
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140060 Issued in TX
Practice address
3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116
Phone
(915) 599-7718
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140060 TX Primary

Addresses

Primary practice location

3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116

Mailing address

3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116
Phone (915) 225-2456

Other identifiers 1

IdentifierTypeStateIssuer
3997827-01MedicaidTX

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
I20190708000925 TX Practitioner - Nurse Practitioner 0749514305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

2201 N Stanton
El Paso, TX 79902-3211
Phone (915) 533-0800

2201 N Stanton St
El Paso, TX 79902-3211

7420 Remcon Cir
El Paso, TX 79912-3537
Phone (915) 532-8823

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince Jun 1, 2019 Accepting new patients

Locations

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

3100 N Lee Trevino Dr
Ste G
El Paso, TX 79936
Phone (915) 225-2456

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

Interoperability endpoints

  • Direct secure messaging: sandragutierrez@rgu.medalliesdirect.net

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.

Hospital & facility affiliations 4

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1669937256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-225-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-599-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SANDRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3997827-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.