THERESA A GUTIERREZ CFNP
NPI 1528491966
Nurse Practitioner in Albuquerque, NM

NPI Status: Active since August 20, 2013

Contact Information

10501 GOLF COURSE RD NW
BARIATRIC DEPT
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 727-2300

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled

About THERESA GUTIERREZ

This page provides the complete NPI Profile along with additional information for Theresa Gutierrez, a provider established in Albuquerque, New Mexico with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1528491966 assigned on August 2013. The practitioner's primary taxonomy code is 363L00000X with license number CNP-02244 (NM). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1528491966
Provider Name
THERESA A GUTIERREZ CFNP
Gender
Female
Entity Type
Individual
Location Address
10501 GOLF COURSE RD NW BARIATRIC DEPT ALBUQUERQUE, NM 87114
Location Phone
(505) 727-2300
Mailing Address
10501 GOLF COURSE RD NW BARIATRIC DEPT ALBUQUERQUE, NM 87114
Mailing Phone
(505) 727-2300
Is Sole Proprietor?
No
Enumeration Date
08-20-2013
Last Update Date
05-16-2016
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A nurse practitioner (NP) like Theresa Gutierrez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP-02244
License State
NM
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

CNP-02244 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
69802238MEDICAID (05)NM 
329188YWTMMEDICARE PIN (08)NM 

Medicare Participation & PECOS Enrollment Status

Theresa Gutierrez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

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

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 87114 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.79
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $21.19
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.38
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $24.09
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for THERESA A GUTIERREZ CFNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528491966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548892912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 9 + 2 + 9 + 1 + 2 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1528491966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. SANJAY K KHOLWADWALA MD

Emergency Medicine

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2050

MESA EMERGENCY GROUP LLC

Emergency Medicine

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(800) 893-9698

MS. CHERYL LOU WILLIAMS

Specialist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2212

LOVELACE WESTSIDE HOSPITAL

Clinical Medical Laboratory

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2070

MRS. DEBI K MCCLERNON-HAIGH P.T.

Physical Therapist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2172

LAURA AUDREY OMIDVARAN R.D.

Dietitian, Registered

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2369

BETTINA MARIA BROWN P.T.

Physical Therapist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-8000

MS. ERIN TERESA BAUDINO-BURGARELLO RD LD

Dietitian, Registered

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2369

SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF NEW MEXICO, INC

Pediatrics

(Neonatal-Perinatal Medicine)

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2456

MRS. JENNIFER SYLVIA HERRERA R.D., L.D.

Dietitian, Registered

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2369

COMPREHENSIVE HOSPITALIST SERVICES OF NEW MEXICO LLC

Hospitalist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(877) 693-5700

UVA MASON

Dietitian, Registered

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2369

MRS. ASHLEY DUNWORTH RDN

Dietitian, Registered

10501 GOLF COURSE RD NW
DEPT: BARIATRICS
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2300

DENILLE MARIE STOREY MOT R/L

Occupational Therapist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2179

MR. FABIAN RODRIGUEZ NP

Nurse Practitioner

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(305) 562-9057

LOVELACE HEALTH SYSTEM, LLC

General Acute Care Hospital

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2001

LOVELACE HEALTH SYSTEM LLC

Radiology

(Body Imaging)

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2000

MRS. KELLI D DOMINGUEZ NP-C

Nurse Practitioner

(Family)

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-8000

DR. JASON IAN MCISAAC M.D.

Emergency Medicine

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2054

TONYA KATHLEEN CARBAJAL

Occupational Therapist

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114

(505) 727-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528491966, enumerated as an "individual" on August 20, 2013.

The provider is located at 10501 GOLF COURSE RD NW BARIATRIC DEPT ALBUQUERQUE, NM 87114 and the phone number is (505) 727-2300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.