VICKY GUTIERREZ PA-C
NPI 1346614732
Physician Assistant in Greenville, SC

Q: What is Vicky Gutierrez's NPI number?

The NPI number for Vicky Gutierrez is 1346614732. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Q: What is Vicky Gutierrez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vicky Gutierrez was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 23, 2015PECOS EnrolledAccepts Medicare Assignment

890 W FARIS RD STE 310, GREENVILLE, SC 29605(864) 455-8300(864) 455-8310 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2022, Apr 29, 2022, May 20, 2021 and 3 more (6 updates tracked since 2015).

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About Vicky Gutierrez Pa-c NPPES

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

VICKY GUTIERREZ PA-C (NPI 1346614732) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (2483) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains a secondary practice location in Seneca.

NPPES Registry Identity

NPI1346614732

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICKY GUTIERREZCredential: PA-C

Location Address890 W FARIS RD STE 310Greenville, SC 29605-4281

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-8300

Fax(864) 455-8310

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 23, 2015

Last NPPES UpdateMay 26, 20226 updates tracked since enumeration

NPPES CertifiedMay 26, 2022

✔ NPI 1346614732 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 SC · 2483

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 ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2483 (SC)

890 W FARIS RD STE 310, Greenville, SC 29605

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Secondary Practice Location 1

Location 110630 Clemson Blvd Ste 100Seneca, SC 29678-4545 · Phone (864) 482-6000 · Fax (864) 482-7000

Other Identifiers 2

OtherSC7826SC · Medicare

Medicaid2542PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicky Gutierrez Pa-c 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 ID4981902913

PECOS Enrollment IDI20160407001359

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.

Hospital Affiliations CMS Care Compare

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

2 suppliers35 claims35 services$14.54 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.87 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

2 suppliers25 claims25 services$60.01 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 13

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

JESSICA BROOKE JOSMAN

Nurse Practitioner (Family)