MARIA GUTIERREZ – Internal Medicine Physician, NPI 1104211812

MARIA GUTIERREZ is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE. They hold a License No. ME136391 (FL). The NPI Number for MARIA GUTIERREZ is 1104211812

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARIA GUTIERREZ
NPI
1104211812
Phone
(904) 383-1003
Address
653 W 8TH ST # L18
Enumeration Date
30 March 2015
Last Update Date
17 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055340503
Graduation Year
2015 (11 years ago)
PAC ID
2062721533
Group Practice PAC ID
1658350749
Professional Enrollment ID
I20180730003343
Address ID
FL331392550MI1680XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for MARIA GUTIERREZ

  • 653 W 8TH ST # L18

    JACKSONVILLE, FL 322096511

    Phone: (904) 383-1003

    Fax: (904) 244-7388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $719.

Total Amount is formed as General ($719) + Research ($0) + Ownership ($0) = $719.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ViiV Healthcare Company ($338).

Total Amount

$719

General + Research + Ownership

Payments

31

Total payment records

General Amount

$719

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180730003343IInternal MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658350749View full group profile
NameSpecialtyState
Mental Health CounselorFL
Family PracticeFL
Nurse PractitionerFL
Clinical Social WorkerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
General PracticeFL
Family PracticeFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is MARIA GUTIERREZ's NPI number?
MARIA GUTIERREZ's NPI is 1104211812 — the number used across U.S. healthcare to identify this provider.
Is MARIA GUTIERREZ still an active registrant?
MARIA GUTIERREZ carries an active NPI according to the public dataset.
What area of care is associated with MARIA GUTIERREZ?
MARIA GUTIERREZ's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARIA GUTIERREZ located near Jacksonville?
MARIA GUTIERREZ currently maps to Jacksonville, Florida in this extract.
Does MARIA GUTIERREZ accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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