NICHOLAS ANDREW GUTZMER DO
NPI 1376239111
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 14, 2023PECOS Enrolled
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122(314) 966-9586(314) 966-9394 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Andrew Gutzmer Do NPPES

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

NICHOLAS ANDREW GUTZMER DO (NPI 1376239111) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376239111
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS ANDREW GUTZMERCredential: DO
Location Address2345 DOUGHERTY FERRY RDSaint Louis, MO 63122-3313
Mailing Address12430 Lighthouse Way Dr Apt FSaint Louis, MO 63141-6482 · (816) 752-3529
Fax(314) 966-9394
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1376239111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2345 DOUGHERTY FERRY RD, Saint Louis, MO 63122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas Andrew Gutzmer Do 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.

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.

Family Medicine
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Anesthesiology
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
General Acute Care Hospital
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Anesthesiology
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Anesthesiology
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Anesthesiology
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Orthopaedic Surgery
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Nurse Anesthetist, Certified Registered
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122

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 Nicholas Gutzmer's NPI number?

The NPI number for Nicholas Gutzmer is 1376239111. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Nicholas Gutzmer located?

Nicholas Gutzmer practices at 2345 Dougherty Ferry Rd, Saint Louis, MO 63122. The listed phone number is (314) 966-9586.

What is Nicholas Gutzmer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Gutzmer enrolled in Medicare?

Yes. Nicholas Gutzmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Gutzmer was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.