Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jacqueline Marie Gutierrez

Individual provider Physician Assistant · NPI 1558183129

Mrs. Jacqueline Marie Gutierrez is a Physician Assistant in Englewood, Colorado. Qualified in 2025, 1 year ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2024
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Practice location Address checks out

8401 S Chambers Rd
Englewood, CO 80112-3276
Phone: (303) 373-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 — (719) 365-6300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009610 (CO)

Record details

NPI number1558183129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

Other providers in Englewood