NINOSKA M GUTIERREZ PAC
NPI 1053757740
Physician Assistant in Brunswick, GA

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
71.88/100
CMS Quality Rating
2500 STARLING ST STE 506, BRUNSWICK, GA 31520(912) 265-5125 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Oct 3, 2022 (2 updates tracked since 2022).

About Ninoska M Gutierrez Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINOSKA M GUTIERREZ PAC (NPI 1053757740) is an individual physician assistant in Brunswick, Georgia, licensed in Georgia (11036) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and maintains a secondary practice location in Pooler.

NPPES Registry Identity

NPI1053757740
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNINOSKA M GUTIERREZCredential: PAC
Location Address2500 STARLING ST STE 506Brunswick, GA 31520-4270
Mailing Address2500 Starling St Ste 506Brunswick, GA 31520-4270 · (912) 265-5125
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 21, 2013
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1053757740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 11036
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2500 STARLING ST STE 506, Brunswick, GA 31520

Secondary Practice Location 1

Location 11000 Towne Center Blvd Ste 701Pooler, GA 31322-4063 · Phone (912) 303-4200 · Fax (912) 790-2701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ninoska M Gutierrez Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678959053
PECOS Enrollment IDI20221008000476
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.34
Promoting Interoperability100
Improvement Activities40
Cost58.94

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2500 STARLING ST STE 506
BRUNSWICK, GA 31520
Nurse Practitioner
2500 STARLING ST STE 506
BRUNSWICK, GA 31520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ninoska Gutierrez's NPI number?

The NPI number for Ninoska Gutierrez is 1053757740. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Ninoska Gutierrez located?

Ninoska Gutierrez practices at 2500 Starling St Ste 506, Brunswick, GA 31520. The listed phone number is (912) 265-5125.

What is Ninoska Gutierrez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ninoska Gutierrez enrolled in Medicare?

Yes. Ninoska Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ninoska Gutierrez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ninoska Gutierrez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ninoska Gutierrez affiliated with any hospitals?

According to CMS data, Ninoska Gutierrez is affiliated with Southeast Georgia Health System- Brunswick Campus, Memorial University Medical Center, St Joseph's Hospital - Savannah and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Ninoska Gutierrez was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.