Individual provider Active NPI

Jaylen Gutierrez, CNP

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1891664306
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363LF00000X Issued in NM
Practice address
2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone
(505) 434-0119
Fax
(877) 553-1272
NPI assigned
Nov 3, 2025
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 363LF00000X NM Primary
Nurse Practitioner 363L00000X 57080 NM

Addresses

Primary practice location

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other practice location 1

901 Baca Ave
Las Vegas, NM 87701
Phone (505) 454-3218

Other practice location 2

1024 S Pacific St
Las Vegas, NM 87701-3415
Phone (505) 426-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20260226000935 NM Practitioner - Nurse Practitioner 0446731509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57080NMMDNurse Practitioner
363LF00000XNMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Sunrise Clinics CurrentSince Feb 1, 2026 Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

1024 S Pacific St
Las Vegas, NM 87701
Phone (505) 426-2564

2515 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2662

901 Baca Ave
Las Vegas, NM 87701
Phone (505) 454-3218

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1891664306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014972",
            "telephone_number": "505-434-0119",
            "fax_number": "877-553-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Baca Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "87701",
            "country_code": "US",
            "telephone_number": "505-454-3218",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 S Pacific St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877013415",
            "country_code": "US",
            "telephone_number": "505-426-2599",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JAYLEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "363LF00000X",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "57080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.