| Mrs Susan M Gutierrez, FNP | |
|
100 Mercy Way, Joplin, MO 64804-4524 | |
| (417) 556-2300 | |
| (417) 556-2906 |
| Full Name | Mrs Susan M Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 Mercy Way, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356366405 | NPI | - | NPPES |
| 185426 | Other | MO | BCBS |
| 200022690A | Medicaid | OK | |
| 200253250D | Medicaid | KS | |
| P01080619 | Other | MO | RAIL ROAD MEDICARE |
| 428980205 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 125666 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 125666 (Missouri) | Primary |
| Entity Name | Empowerme Np, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114672599 PECOS PAC ID: 8527452358 Enrollment ID: O20220222000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan M Gutierrez, FNP 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 556-2300 | Mrs Susan M Gutierrez, FNP 100 Mercy Way, Joplin, MO 64804-4524 Ph: (417) 556-2300 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Susan Bounous, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-553-7920 Fax: 877-464-5922 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 |