MR. GARY M GUTIERREZ MSN, NP-C, CCRN
NPI 1255670790
Nurse Practitioner - Adult Health in Staten Island, NY

Active since February 04, 2013PECOS EnrolledAccepts Medicare Assignment
1050 CLOVE RD, HOSPITALIST, STATEN ISLAND, NY 10301(718) 816-6440 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 7, 2017, Aug 15, 2016 (2 updates tracked since 2016).

About Mr. Gary M Gutierrez Msn, Np-c, Ccrn NPPES

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

MR. GARY M GUTIERREZ MSN, NP-C, CCRN (NPI 1255670790) is an individual adult health provider in Staten Island, New York, licensed in New York (F306162-1) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255670790
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. GARY M GUTIERREZCredential: MSN, NP-C, CCRN
Location Address1050 CLOVE RD, HOSPITALISTStaten Island, NY 10301-3627
Mailing Address55 Water St, 12th FloorNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 4, 2013
Last NPPES UpdateFebruary 7, 20172 updates tracked since enumeration
✔ NPI 1255670790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NY · F306162-1✔ Licensed in NJ · 26NJ00423300
1050 CLOVE RD, Staten Island, NY 10301

Other Identifiers 1

Medicare PINA400160541NY

Accepted Insurance

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

Mr. Gary M Gutierrez Msn, Np-c, Ccrn 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 ID7214230325
PECOS Enrollment IDI20211123001390
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

3

Medicare enrollment records show Gary Gutierrez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
613 PARK AVE FL 2
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 81 clinicians in this Medicare group
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
Neurology
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mercy Hospital Of Buffalo
  • 499 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,314 services24 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301

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 Gary Gutierrez's NPI number?

The NPI number for Gary Gutierrez is 1255670790. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Gary Gutierrez located?

Gary Gutierrez practices at 1050 Clove Rd Hospitalist, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Gary Gutierrez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gary Gutierrez enrolled in Medicare?

Yes. Gary 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 Gary Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Gutierrez reassigns Medicare benefits to 3 organizations: Salerno Medical Associates, LLC (East Orange, NJ), St. Joseph's Healthcare, Inc. (Paterson, NJ) and Chs Neuroscience Group (Buffalo, 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 Gary Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Gutierrez accept?

Health plans from Ambetter Health and Oscar Health list Gary 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 Gary Gutierrez affiliated with any hospitals?

According to CMS data, Gary Gutierrez is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Gutierrez was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.