ELIZABETH GUTIERREZ – Physician Assistant, NPI 1255972584
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for ELIZABETH GUTIERREZ
10188, West Oregon Place, Lakewood, Jefferson County, Colorado, 80232, United States
LAKEWOOD, CO 802326346
Phone: (720) 257-2808
Type: Mailing
Salud Fort Lupton, 1115, 2nd Street, Fort Lupton, Weld County, Colorado, 80621, United States
FORT LUPTON, CO 806211745
Phone: (720) 332-9445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($108).
Total Amount
$371
General + Research + Ownership
Payments
15
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $108 |
| PFIZER INC. | $65 |
| AstraZeneca Pharmaceuticals LP | $30 |
| GlaxoSmithKline, LLC. | $24 |
| Bayer Healthcare Pharmaceuticals Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191120000891 | I | Physician Assistant | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Family Practice, Addiction Medicine | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | CO |
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