ELVIRA J GUTIERREZ (PA) – Physician Assistant, NPI 1174613178
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for ELVIRA J GUTIERREZ (PA)
Saint Michael's Medical Center, 111, Central Avenue, Newark, Essex County, New Jersey, 07102, United States
SAINT MICHAEL'S MEDICAL CENTER
NEWARK, NJ 07102
Phone: (973) 877-5320
Type: Mailing
111 Central Avenue
Saint Michael's Medical Center
Newark, NJ 07102
Phone: (973) 877-5320
Type: Location
110 BENDER AVE
ROSELLE PARK, NJ 072042402
Phone:
Type: Mailing
328 W SAINT GEORGES AVE
LINDEN, NJ 070365638
Phone: (908) 925-2273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $169.
Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($37).
Total Amount
$169
General + Research + Ownership
Payments
10
Total payment records
General Amount
$169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $37 |
| Novo Nordisk Inc | $32 |
| Hologic Sales and Service, LLC | $17 |
| Phadia US Inc. | $17 |
| GlaxoSmithKline, LLC. | $17 |
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: 2005-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20051221000181 | I | Physician Assistant | NJ | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 07102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Registered Dietitian Or Nutrition Professional | NJ | |
| E N D O C R I N O L O G Y | NJ | |
| Sports Medicine, Family Practice | NJ | |
| Internal Medicine | NJ | |
| Family Practice | MI | |
| Internal Medicine | NJ |
Reviews
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