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JOSE GUTIERREZ JR.
NPI 1962950378
Nurse Practitioner - Family in Hanscom Afb, MA

Active since September 14, 2016PECOS Enrolled
59 GRENIER ST, BUILDING 1507, HANSCOM AFB, MA 01731(339) 202-6423 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jose Gutierrez Jr. NPPES

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

JOSE GUTIERREZ JR. (NPI 1962950378) is an individual family provider in Hanscom Afb, Massachusetts, licensed in Connecticut (6716) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962950378
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSE GUTIERREZ JR.
Location Address59 GRENIER ST, BUILDING 1507Hanscom Afb, MA 01731
Mailing Address360 State St, Apt 2618New Haven, CT 06510-3601 · (309) 335-4242
Phone(339) 202-6423
Sole ProprietorYes
Enumeration DateSeptember 14, 2016
✔ NPI 1962950378 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 CT · 6716
59 GRENIER ST, Hanscom Afb, MA 01731
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Jose Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
118 mi
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 01731 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

DEBRAH L WHITE LICSW
Social Worker (Clinical)
59 GRENIER ST
HANSCOM, AFB, MA 01731
Middlesex County (339) 202-4036

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 Jose Gutierrez's NPI number?

The NPI number for Jose Gutierrez is 1962950378. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Jose Gutierrez located?

Jose Gutierrez practices at 59 Grenier St Building 1507, Hanscom Afb, MA 01731. The listed phone number is (339) 202-6423.

What is Jose Gutierrez's specialty?

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

Is Jose Gutierrez enrolled in Medicare?

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

Which organization bills Medicare for Jose Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Gutierrez reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). 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 Jose Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Gutierrez was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.