SANDRA P GUTIERREZ DNP
NPI 1073097804
Nurse Practitioner - Acute Care in Albuquerque, NM

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 724-6124(505) 724-7239 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Feb 22, 2021, Sep 18, 2018 (3 updates tracked since 2018).

About Sandra P Gutierrez Dnp NPPES

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

SANDRA P GUTIERREZ DNP (NPI 1073097804) is an individual acute care provider in Albuquerque, New Mexico, licensed in New Mexico (59012) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1073097804
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSANDRA P GUTIERREZCredential: DNP
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666Albuquerque, NM 87125-6666 · (505) 908-5192
Fax(505) 724-7239
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1073097804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in NM · 59012✔ Licensed in NY · 431404
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 59012 (NM)
1100 CENTRAL AVE SE, Albuquerque, NM 87106

Secondary Practice Location 1

Location 1700 High St NEAlbuquerque, NM 87102-2565 · Phone (505) 242-4444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra P Gutierrez Dnp 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 ID1456605450
PECOS Enrollment IDI20200401001739
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sandra Gutierrez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • Also billed through NPI 1790761138 (New Mexico), NPI 1558347708 (New Mexico)
  • 2,331 clinicians in this Medicare group
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
Internal Medicine
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 303 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Anesthetist, Certified Registered
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106

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 Sandra Gutierrez's NPI number?

The NPI number for Sandra Gutierrez is 1073097804. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Sandra Gutierrez located?

Sandra Gutierrez practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 724-6124.

What is Sandra Gutierrez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sandra Gutierrez enrolled in Medicare?

Yes. Sandra 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.

Which organizations bill Medicare for Sandra Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Gutierrez reassigns Medicare benefits to 4 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Hospital (Albuquerque, NM), Southwest Medical Associates, LLC (Albuquerque, NM) and Highland Hospital Of Rochester (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sandra Gutierrez affiliated with any hospitals?

According to CMS data, Sandra Gutierrez is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Gutierrez was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.