Jillian Illyse Gutierrez, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0029862 Issued in OH

Practice address

30 W Ward St
Springfield, OH 45504

Phone

(937) 328-2310

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miami Valley Urgent Care LLCGroup PAC ID 8729973466, 7 clinicians

Autumn Treatment Center LLCGroup PAC ID 6002204344, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillian.gutierrez.1@9965.direct.athenahealth.com

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.

• Autumn Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington Court House, OH
  • NPI 1225601826
  Medicare reassignment Care Compare group NPD
• Miami Valley Urgent Care LLC

  dba AccessMD Urgent Care

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1649209784
  Medicare reassignment Care Compare group NPD
• Michael G Saribalas DO PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Gahanna, OH
  • NPI 1275720591
  Medicare reassignment NPD
• Autumn Treatment Center LLC

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1104633221
  NPD
• Autumn Treatment Center LLC

  • Clinic/Center
  • Washington Court House, OH
  • NPI 1275112815
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Mercy Health Partners

  dba Mercy Health - Springfield Regional Medical Center

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Lab Services, Springfield

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1831851278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3697 BALLENTINE PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028669",
            "telephone_number": "937-925-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W WARD ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45504",
            "telephone_number": "937-328-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JILLIAN",
        "middle_name": "ILLYSE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Gullett, CDCA. 177413, ASC
• Jessica Dawn Gullette, LPN
• Brittany Ann Gundolf
• Amberlyn M Gunst, LPCC
• Bryce C Guthrie
• Jennifer Guzman-Muelling, LPCC
• H. Owen Ward, PH.D. Inc.
• Megan Haas, PA
• Nona Jean Hackley
• Pamela J Haddix

• Family Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.