RAUL GUTIERREZ (ACNP) – Nurse Practitioner, NPI 1609143460
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for RAUL GUTIERREZ (ACNP)
440 RAYNOLDS ST # 51015
EL PASO, TX 799051613
Phone: (915) 215-4480
Fax: (915) 215-5386
Type: Mailing
759 CHESTNUT ST
S4604
SPRINGFIELD, MA 011991619
Phone: (413) 794-5550
Fax: (413) 794-9294
Type: Location
280 CHESTNUT ST
2ND FLOOR
SPRINGFIELD, MA 011991619
Phone: (413) 794-5700
Type: Mailing
2609 PORTLAND AVE
EL PASO, TX 799302811
Phone: (617) 352-5043
Type: Mailing
1900 ELECTRIC RD
SALEM, VA 241537474
Phone: (540) 776-4099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120111000546 | I | Nurse Practitioner | TX | TBD |
| I20231113000040 | I | Nurse Practitioner | VA | 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 79905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
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