Individual provider Active NPI

Natalie Gutierrez, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811715717
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
883071 Issued in NV
Practice address
4533 Merkel Bluff St
Las Vegas, NV 89147-5128
Phone
(702) 886-2269
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 883071 NV Primary

Addresses

Primary practice location

4533 Merkel Bluff St
Las Vegas, NV 89147-5128

Mailing address

4533 Merkel Bluff St
Las Vegas, NV 89147-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250930003212 NV Practitioner - Nurse Practitioner 6608372503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revivify Wound Care and Soft Tissue SpecialtyGroup PAC ID 6002312998, 2 clinicians

Practice addresses (Care Compare)

4533 Merkel Bluff St
Las Vegas, NV 89147-5128
Phone (702) 886-2269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
883071NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Wellness PLLC Family Current Accepting new patients
Revivify Wound Care and Soft Tissue Specialty CurrentSince Jul 10, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1811715717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 MERKEL BLUFF ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 MERKEL BLUFF ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475128",
            "telephone_number": "702-886-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NATALIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "883071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.