ELIZABETH GUTIERREZ
NPI 1255972584
Physician Assistant in Fort Lupton, CO

Q: What is Elizabeth Gutierrez's NPI number?

The NPI number for Elizabeth Gutierrez is 1255972584. It was assigned to this individual provider in the NPPES registry on October 8, 2019. The provider is also known as Elizabeth Killingsworth.

Q: What is Elizabeth Gutierrez's specialty?

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

Active since October 08, 2019PECOS Enrolled

1115 2ND ST, FORT LUPTON, CO 80621(720) 332-9445 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2019, Oct 8, 2019 (2 updates tracked since 2019).

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About Elizabeth Gutierrez NPPES

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

ELIZABETH GUTIERREZ (NPI 1255972584) is an individual physician assistant in Fort Lupton, Colorado, licensed in Colorado (PA0006003) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255972584

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELIZABETH GUTIERREZ

Location Address1115 2ND STFort Lupton, CO 80621-1745

Mailing Address10188 W Oregon PlLakewood, CO 80232-6346 · (720) 257-2808

Phone(720) 332-9445

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2019

Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration

✔ NPI 1255972584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA0006003

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA0006003 (CO)

1115 2ND ST, Fort Lupton, CO 80621

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Other Names 1

Former Name (1)Elizabeth Killingsworth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Elizabeth Gutierrez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527490192

PECOS Enrollment IDI20191120000891

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 80621 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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Other Providers at the Same Location NPPES 17

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

TILLMAN FARLEY MD

Family Medicine