Individual provider Active NPI

Michael Jason Gutierrez

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1932888336
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026717 Issued in FL
Practice address
845 Nandina Dr
Weston, FL 33327-2408
Phone
(954) 632-5570
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 11026717 FL Primary

Addresses

Primary practice location

845 Nandina Dr
Weston, FL 33327-2408

Mailing address

845 Nandina Dr
Weston, FL 33327-2408
Phone (954) 632-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231013000482 FL Practitioner - Nurse Practitioner 2466807292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026717FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 12, 2024 Accepting new patients
Paragon Contracting Services LLC CurrentSince Oct 6, 2023 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Dec 18, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 12, 2024 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9690 Glades Rd
Unit 425
Boca Raton, FL 33434
Phone (561) 449-2322

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1932888336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NANDINA DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272408",
            "telephone_number": "954-632-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NANDINA DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272408",
            "telephone_number": "954-632-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.