SUSAN CAMILLE GUTIERREZ MSN, APRN, FNP-C
NPI 1124432547
Nurse Practitioner in San Antonio, TX

Q: What is Susan Gutierrez's NPI number?

The NPI number for Susan Gutierrez is 1124432547. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Susan Gutierrez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Gutierrez was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2014PECOS Enrolled

16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232(210) 309-1405(210) 688-4596 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Feb 23, 2016 (2 updates tracked since 2016).

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About Susan Camille Gutierrez Msn, Aprn, Fnp-c NPPES

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

SUSAN CAMILLE GUTIERREZ MSN, APRN, FNP-C (NPI 1124432547) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP125921) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124432547

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN CAMILLE GUTIERREZCredential: MSN, APRN, FNP-C

Location Address16620 N US HIGHWAY 281 STE 300San Antonio, TX 78232-2679

Mailing AddressPo Box 847692, Att Ipm CredentialingDallas, TX 75284-7692 · (903) 416-1726 · Fax (903) 416-1701

Phone(210) 309-1405

Fax(210) 688-4596

Sole ProprietorNo

Enumeration DateJune 13, 2014

Last NPPES UpdateMay 16, 20192 updates tracked since enumeration

✔ NPI 1124432547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP125921

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

16620 N US HIGHWAY 281 STE 300, San Antonio, TX 78232

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Other Identifiers 1

Medicaid3435414-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Camille Gutierrez Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78232 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers22 claims34 services$9.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers23 claims25 services$58.73 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers14 claims14 services$15.98 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$12.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ILIANA AMAYA GREVER M.D.

Internal Medicine (Geriatric Medicine)