Individual provider Active NPI

Lauren Gutierrez, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1962101022
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014376A Issued in IN
Practice address
5210 E Thompson Rd
Indianapolis, IN 46237-2085
Phone
(317) 782-7500
Fax
(317) 782-7515
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71014376A IN
Family Nurse Practitioner 363LF0000X 71014376A IN Primary

Addresses

Primary practice location

5210 E Thompson Rd
Indianapolis, IN 46237-2085

Mailing address

PO Box 781076
Detroit, MI 48278-4002
Phone (317) 528-4800

Other practice location 1

1290 N State Road 135
Greenwood, IN 46142-1003
Phone (317) 865-0472

Other names 1

  • Lauren Hines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230925001143 IN Practitioner - Nurse Practitioner 2163876129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5210 E Thompson Rd
Indianapolis, IN 46237-2085
Phone (317) 899-5546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014376AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2023 Accepting new patients
Franciscan Physician Network Current Accepting new patients
Franciscan Physician Network CurrentSince Jul 28, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Jul 28, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

10767 Illinois St
Ste 1300
Carmel, IN 46032
Phone (317) 528-2298

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1290 N State Road 135
Greenwood, IN 46142
Phone (317) 293-8640

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

5210 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 782-7500

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: lhines221255@ecommunitydirect.com

Organizations & group practices 5

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1962101022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482784002",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E THOMPSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372085",
            "telephone_number": "317-782-7500",
            "fax_number": "317-782-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 N State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421003",
            "country_code": "US",
            "telephone_number": "317-865-0472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014376A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HINES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.