MS. HEATHER NICOLE GUTIERREZ (PA-S) – Physician Assistant, NPI 1174972822
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MS. HEATHER NICOLE GUTIERREZ (PA-S)
PO BOX 5127
EVERETT, WA 982065127
Phone: (360) 293-4343
Fax: (360) 588-1587
Type: Mailing
528 Myrtle St
LA CONNER, WA 98257
Phone: (360) 466-3136
Fax: (360) 466-0107
Type: Location
4311 11th Ave NE
Suite 200
Seattle, WA 981056366
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Location
912, 32nd Street, Anacortes, Skagit County, Washington, 98221, United States
ANACORTES, WA 982213473
Phone: (360) 293-4343
Fax: (360) 588-1587
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Halozyme Inc ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Halozyme Inc | $125 |
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: 2017-12-20
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 |
|---|---|---|---|---|
| I20171220001732 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 510 | 281 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 376 | 218 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 241 | 220 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 237 | 230 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 228 | 202 | $0 |
Insurance plans in this area (ZIP 98206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
Reviews
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