RANDY GUTIERREZ
NPI 1952170649
Case Manager/Care Coordinator in Albuquerque, NM

Q: What is Randy Gutierrez's NPI number?

The NPI number for Randy Gutierrez is 1952170649. It was assigned to this individual provider in the NPPES registry on December 22, 2023.

Q: What is Randy Gutierrez's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Gutierrez was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 22, 2023PECOS Enrolled

203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108(505) 308-8296(505) 433-5096 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Randy Gutierrez NPPES

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

RANDY GUTIERREZ (NPI 1952170649) is an individual case manager/care coordinator provider in Albuquerque, New Mexico and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952170649

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameRANDY GUTIERREZ

Location Address203 CALIFORNIA ST NEAlbuquerque, NM 87108-1802

Mailing Address203 California St NeAlbuquerque, NM 87108-1802 · (505) 308-8296 · Fax (505) 433-5096

Phone(505) 308-8296

Fax(505) 433-5096

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 22, 2023

NPPES CertifiedDecember 22, 2023

✔ NPI 1952170649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

203 CALIFORNIA ST NE, Albuquerque, NM 87108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3274025291

PECOS Enrollment IDI20251125005000

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.

SPRING LEHERISSEY

Peer Specialist