MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) – Physician Assistant, NPI 1124152624

MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) is a healthcare provider. based in Boerne, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA04074 (TX). The NPI Number for MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) is 1124152624

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C)
NPI
1124152624
Phone
(830) 816-4357
Address
1510 S MAIN ST
Enumeration Date
15 March 2007
Last Update Date
24 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107648888
Graduation Year
2003 (23 years ago)
PAC ID
4880812064
Group Practice PAC ID
8628423571
Professional Enrollment ID
I20140829001751
Address ID
TX782584627SA1205X1604401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C)

  • 1510 S MAIN ST

    BOERNE, TX 780063308

    Phone: (830) 816-4357

    Fax: (830) 331-8718

    Type: Mailing

  • 212 US Hwy 87

    Comfort, TX 780133705

    Phone: (830) 995-3887

    Fax: (830) 995-3393

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $458.

Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($176).

Total Amount

$458

General + Research + Ownership

Payments

12

Total payment records

General Amount

$458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

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: 2014-08-29

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
I20140829001751IPhysician AssistantTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg2,25269$0
99214Established patient office or other outpatient visit, 30-39 minutes1,052323$0
80305Testing for presence of drug, read by direct observation266172$0
99213Established patient office or other outpatient visit, 20-29 minutes11186$0
J1885Injection, ketorolac tromethamine, per 15 mg9448$0
View full utilization report →

Insurance plans in this area (ZIP 78006)

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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: 8628423571View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

How is MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) identified in CMS data?
CMS-hosted NPPES data lists MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) with NPI 1124152624.
Does the file indicate MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) is practicing under active NPI?
Directory data currently reports MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) as active.
What is MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C)'s specialty?
The listing groups MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C)?
MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C)'s geographic hint is Boerne, Texas in our summary view.
Why does MS. OLINDA CHRISTINE GUTIERREZ (P.A.-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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