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INDIRA GUTIERREZ APRN
NPI 1790552925
Nurse Practitioner - Family in Magna, UT

Active since December 07, 2023PECOS Enrolled
2766 S TARPAN RD, MAGNA, UT 84044(801) 808-4178(801) 808-4178 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indira Gutierrez Aprn NPPES

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

INDIRA GUTIERREZ APRN (NPI 1790552925) is an individual family provider in Magna, Utah, licensed in Utah (12480674-4405) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790552925
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameINDIRA GUTIERREZCredential: APRN
Location Address2766 S TARPAN RDMagna, UT 84044-1944
Mailing Address2766 S Tarpan RdMagna, UT 84044-1944 · (801) 808-4178 · Fax (801) 808-4178
Phone(801) 808-4178
Fax(801) 808-4178
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 7, 2023
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1790552925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 12480674-4405
2766 S TARPAN RD, Magna, UT 84044
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2769975838
PECOS Enrollment IDI20251205003352
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.

Medicare Billing Reassignment

Medicare enrollment records show Indira Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ma Bo Inc
11 mi
Family Medicine
466 E 500 S STE 200
Salt Lake City, UT 84111
  • Reassigned Medicare billing, Utah enrollment
  • 27 clinicians in this Medicare group
NPI 1588185581 (801) 485-5055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84044 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Indira Gutierrez's NPI number?

The NPI number for Indira Gutierrez is 1790552925. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Indira Gutierrez located?

Indira Gutierrez practices at 2766 S Tarpan Rd, Magna, UT 84044. The listed phone number is (801) 808-4178.

What is Indira Gutierrez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Indira Gutierrez enrolled in Medicare?

Yes. Indira Gutierrez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indira Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indira Gutierrez reassigns Medicare benefits to Ma Bo Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Indira Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Indira Gutierrez accept?

Health plans from Molina Healthcare list Indira Gutierrez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indira Gutierrez was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.