Individual provider Active NPI

Gilbert J Gutierrez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1922660042
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10037295 Issued in OR
Practice address
7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684
Phone
(503) 345-3260
Fax
(503) 345-3052
NPI assigned
Jun 28, 2019
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277003193 IL
Acute Care Nurse Practitioner 363LA2100X 2019023256 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024011384 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61662306 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10037295 OR Primary

Addresses

Primary practice location

7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684

Mailing address

7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684
Phone (618) 602-0767

Other practice location 1

5720 N Belt W Ste 20
PMB #168
Belleville, IL 62226-4661
Phone (618) 602-0767

Other practice location 2

8083 SE 13th Ave Ste 3
Portland, OR 97202-6668
Phone (503) 345-3260

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ggutierrez381625@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTGU2 Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201023000621 MO Practitioner - Nurse Practitioner 1153741590 Reassigns benefits to 1 organization
I20201120000488 IL Practitioner - Nurse Practitioner 1153741590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1445 Ross Ave
Suite 1400
Dallas, TX 75202-2703

218 A W Main St
Suite D
Belleville, IL 62220-1550

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

PO Box
Suite 505315
Saint Louis, MO 63150-5315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
2024011384MOMDPsychiatric/Mental Health Nurse Practitioner
10037295ORMDPsychiatric/Mental Health Nurse Practitioner
AP61662306WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince May 1, 2023 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Jun 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Jun 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
SLH Physicians LLC CurrentSince Sep 1, 2020 Accepting new patients
SSM Health Care Group CurrentSince May 1, 2023 Accepting new patients
Psychology & Wellness Group PDX LLC PastSince Aug 27, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

1225 S Grand Blvd
#3L
Saint Louis, MO 63104
Phone (314) 257-3760

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

Interoperability endpoints

  • Direct secure messaging: ggutierrez381625@direct-ehr-ssmhc.com

Organizations & group practices 8

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1922660042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "618-602-0767",
            "fax_number": "618-822-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-345-3260",
            "fax_number": "503-345-3052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 N Belt W Ste 20",
            "address_2": "PMB #168",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622264661",
            "country_code": "US",
            "telephone_number": "618-602-0767",
            "fax_number": "618-822-4021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8083 SE 13th Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026668",
            "country_code": "US",
            "telephone_number": "503-345-3260",
            "fax_number": "503-345-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GILBERT",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003193",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2019023256",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024011384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61662306",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10037295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggutierrez381625@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ggutierrez381625@direct-ehr-ssmhc.com",
            "address_1": "1201 S Grand Blvd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631041016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTGU2",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1201 S Grand Blvd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631041016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.