JENNIFER S. GUTIERREZ M.D. NPI 1750519070

Radiology (Diagnostic Radiology) in Eden Prairie, MN

NPI 1750519070 Individual Female Years of Experience 15 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment

About JENNIFER GUTIERREZ

Jennifer Gutierrez is a provider established in Eden Prairie, Minnesota and her medical specialization is radiology (diagnostic radiology) with more than 15 years of experience. The NPI number of Jennifer Gutierrez is 1750519070 and was assigned on June 2009. The practitioner's primary taxonomy code is 2085R0202X with license number 0101255307 (VA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

Jennifer Gutierrez is enrolled in PECOS and is eligible to order or refer healthcare 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

Jennifer Gutierrez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Englewood Hospital And Medical Center, Springfield Hospital, Willapa Harbor Hospital, Jackson General Hospital and Mercy Regional Medical Center.

NPI

1750519070

Provider Name JENNIFER S. GUTIERREZ M.D.
Provider Location Address11995 SINGLETREE LN STE 500 EDEN PRAIRIE, MN 55344
Provider Mailing Address11995 SINGLETREE LN SUITE 500 EDEN PRAIRIE, MN 55344
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-25-2009
Last Update Date06-21-2017


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.0101255307
License StateVA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

JENNIFER S. GUTIERREZ M.D.
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN
ZIP 55344
Phone:
Fax: (612) 294-4903

Get Directions


Mailing Address

JENNIFER S. GUTIERREZ M.D.
11995 SINGLETREE LN
SUITE 500
EDEN PRAIRIE, MN
ZIP 55344
Phone:
Fax: (612) 294-4903



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5294966958
PECOS Enrollment IDI20140321000109, I20170320000892
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 163X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 57X-ray of chest, 1 view, front (HCPCS:71010)
  • 31X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 15X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 15X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 12CT scan of abdomen and pelvis (HCPCS:74176)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Gutierrez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ENGLEWOOD HOSPITAL AND MEDICAL CENTER350 ENGLE ST
ENGLEWOOD, NJ 7631
(201) 894-3000Acute Care Hospitals310045
SPRINGFIELD HOSPITALPO BOX 2003
SPRINGFIELD, VT 5156
(802) 885-2151Critical Access Hospitals471306
WILLAPA HARBOR HOSPITAL800 ALDER STREET
SOUTH BEND, WA 98586
(360) 875-5526Critical Access Hospitals501303
JACKSON GENERAL HOSPITAL122 PINNELL ST
RIPLEY, WV 25271
(304) 372-2731Critical Access Hospitals511320
MERCY REGIONAL MEDICAL CENTER800 E MAIN
VILLE PLATTE, LA 70586
(337) 363-5684Acute Care Hospitals190167

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1023094737 STEPHEN GEORGE FOX M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
1588903074 BEVERLY JANE STERN D.O.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1100
1427013150 LAWRENCE WILLIAM KALER MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1548213812DR. DAVID MYUNGKEE MOON M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1100
1184891962 FOZAIL IMRAN ALVI MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1891955803 TALITHA SKORY TRAVIS M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1417953795DR. GREGORY EDWARD KENYHERZ M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1558336834DR. ALGIS VINCENT BABUSIS M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1013958883 GWENDOLYN DURGIN MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1457677114 MICHAEL GREGORY COORDS MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1114214772DR. TEJ D DESAI M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1629357207DR. ANDREW HOBSON WESTMORELAND D.O.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1982602470 DAVID D BURDETTE MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1093700957 RONNIE M. GUNDLACH D.O.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1629067327 DENNIS DEJESUS MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1568438810 KENNETH L. SERRA MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1346298395 GORDON ARCHIBALD MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1548204639DR. THOMAS J. CHURCH M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1306874581DR. SANDRA P. TOBON M.D.
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301
1538285366 STEVEN B SONNABEND MD
Individual
Radiology (Diagnostic Radiology)11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
(952) 595-1301

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.