Individual provider Active NPI

Georgina Gutierrez, NP-C

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1912323593
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
747847 Issued in TX
Practice address
1625 Medical Center Dr
El Paso, TX 79902-5005
Phone
(915) 747-4000
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 747847 TX Primary

Addresses

Primary practice location

1625 Medical Center Dr
El Paso, TX 79902-5005

Mailing address

6541 Grand Ridge Dr
El Paso, TX 79912-7480
Phone (915) 861-4749

Other practice location 1

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Other practice location 2

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000

Other names 1

  • Georgina Ontiveros Former name

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
I20140731000103 TX Practitioner - Nurse Practitioner 0749406593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
747847TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff Creek Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients

Locations

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1912323593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 GRAND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127480",
            "telephone_number": "915-861-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "fax_number": "915-577-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382622",
            "country_code": "US",
            "telephone_number": "915-832-2000",
            "fax_number": "915-832-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GEORGINA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "747847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINA",
            "last_name": "ONTIVEROS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.