Jillian Illyse Gutierrez, NP-C - Medicare Nurse Practitioner in Springfield, OH

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Jillian Illyse Gutierrez, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Ohio. Her current practice location is 30 W Ward St, Springfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 328-2310.

Jillian Illyse Gutierrez is licensed to practice in Ohio (license number APRN.CNP.0029862) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831851278.

Contact Information

Jillian Illyse Gutierrez, NP-C
30 W Ward St,
Springfield, OH 45504
(937) 328-2310
Not Available

Map and Direction




Provider's Profile

Full NameJillian Illyse Gutierrez
GenderFemale
SpecialityNurse Practitioner - Family
Location30 W Ward St, Springfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831851278
  • Provider Enumeration Date: 10/13/2021
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577946532
  • Enrollment ID: I20220824001190

Medical Identifiers

Medical identifiers for Jillian Illyse Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831851278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0029862 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jillian Illyse Gutierrez allows following entities to bill medicare on her behalf.
Entity NameMiami Valley Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649209784
PECOS PAC ID: 8729973466
Enrollment ID: O20040220000472
Entity NameMichael G Saribalas Do Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275720591
PECOS PAC ID: 6709974959
Enrollment ID: O20071121000446
Entity NameAutumn Treatment Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225601826
PECOS PAC ID: 6002204344
Enrollment ID: O20211019002513

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jillian Illyse Gutierrez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jillian Illyse Gutierrez, NP-C
3697 Ballentine Pike,
Springfield, OH 45502-8669

Ph: (937) 925-5475		Jillian Illyse Gutierrez, NP-C
30 W Ward St,
Springfield, OH 45504

Ph: (937) 328-2310

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.