JAYLEN GUTIERREZ CNP - NPI 1891664306 - Nurse Practitioner in Las Vegas, NM

Q: What is Jaylen Gutierrez's NPI number?

The NPI number for Jaylen Gutierrez is 1891664306. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Q: What is Jaylen Gutierrez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaylen Gutierrez was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

On this page

About Jaylen Gutierrez Cnp NPPES

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

JAYLEN GUTIERREZ CNP (NPI 1891664306) is an individual family provider in Las Vegas, New Mexico, licensed in New Mexico (363LF00000X) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891664306

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAYLEN GUTIERREZCredential: CNP

Location Address2515 RIDGE RUNNER RDLas Vegas, NM 87701-4972

Mailing Address117 Camino De Vida Ste 300Santa Rosa, NM 88435-2267 · (575) 472-4311 · Fax (877) 651-0289

Phone(505) 434-0119

Fax(877) 553-1272

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 3, 2025

Last NPPES UpdateFebruary 23, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1891664306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · 363LF00000X

Also ListedNurse PractitionerTaxonomy 363L00000X · License 57080 (NM)

2515 RIDGE RUNNER RD, Las Vegas, NM 87701

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1901 Baca AveLas Vegas, NM 87701 · Phone (505) 454-3218 · Fax (877) 553-1272

Location 21024 S Pacific StLas Vegas, NM 87701-3415 · Phone (505) 426-2599 · Fax (877) 553-1272

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

Jaylen Gutierrez Cnp 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 ID446731509

PECOS Enrollment IDI20260226000935

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87701 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

Other Providers at the Same Location NPPES 9

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

SAN MIGUEL CLINIC CORP

Clinic/Center (Rural Health)