NINOSKA M GUTIERREZ (PAC) – Physician Assistant, NPI 1053757740
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for NINOSKA M GUTIERREZ (PAC)
4700 WATERS AVE
SAVANNAH, GA 314046220
Phone: (912) 350-1700
Type: Mailing
1000 Towne Center Blvd Ste 701
Pooler, GA 313224063
Phone: (912) 303-4200
Fax: (912) 790-2701
Type: Location
2500 STARLING ST STE 506
BRUNSWICK, GA 315204270
Phone: (912) 265-5125
Type: Mailing
2500 STARLING ST STE 201
BRUNSWICK, GA 315204267
Phone: (912) 265-5125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($37).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $37 |
| Merck Sharp & Dohme LLC | $21 |
| Boston Scientific Corporation | $15 |
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: 2022-10-08
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 |
|---|---|---|---|---|
| I20221008000476 | I | Physician Assistant | GA | 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 31404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA |
Reviews
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