ADA GUTIERREZ NP
NPI 1093027153
Nurse Practitioner - Adult Health in Stony Brook, NY
About Ada Gutierrez Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADA GUTIERREZ NP (NPI 1093027153) is an individual adult health provider in Stony Brook, New York, licensed in New York (306547) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ada Gutierrez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ada Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 261 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Ada Gutierrez's NPI number?
The NPI number for Ada Gutierrez is 1093027153. It was assigned to this individual provider in the NPPES registry on July 6, 2010.
Where is Ada Gutierrez located?
Ada Gutierrez practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-0650.
What is Ada Gutierrez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ada Gutierrez enrolled in Medicare?
Yes. Ada Gutierrez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ada Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ada Gutierrez reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). The 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 Ada Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ada Gutierrez was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ada Gutierrez, NP · NPI 1093027153
Adult Health physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since July 6, 2010.
## Identity
- **NPI:** 1093027153 (Entity type: Individual)
- **Enumerated:** July 6, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 306547 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NICOLLS RD, Stony Brook, NY 11794-3210
- **Phone:** (631) 444-0650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Internists, University Faculty Practice Corporation (NPI 1215976337, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2024
- **Other identifiers:** Other 306547 (NY); Medicaid 609093-1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093027153) · Data from the CMS NPPES public registry.