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2026 NPPES data Advanced Practice Midwife NPI 1366189870 CNM/WHNP-BC
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Elena Gutierrez, CNM/WHNP-BC

Advanced Practice Midwife in Santa Cruz, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,199 in Advanced Practice Midwife, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
36
Medicare Part D claims · 20 beneficiaries · Advanced Practice Midwife avg: 100
MIPS score
96.5/100
▲ 13 pts above national avg 83.5 · Exceptional
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Compiled from official public sources by the editorial process.

What the federal data shows

Elena Gutierrez, CNM/WHNP-BC reported a CMS MIPS final score of 96.5/100 - above the 83.5 national average - and filed 36 Medicare Part D claims in 2024.

96.5/100
MIPS score · +13 vs avg
36
Part D claims, 2024
≥82nd
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Elena Gutierrez, CNM/WHNP-BC

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1366189870), first enumerated 05/16/2022.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 36 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 96.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Elena Gutierrez, CNM/WHNP-BC's individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1366189870 · Advanced Practice Midwife

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1366189870
  • ENUM-RECENT 2022
  • TAX-MID 11K Advanced Practice
  • MIPS-ELITE 96.5/100
  • RX-TRACE 36
  • BOOK-LIGHT 873 in California
  • PHOTO-FINISH Cynthia Messer, CNM · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Elena Gutierrez, CNM/WHNP-BC's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

97 ≥ 82nd percentile 82% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Elena Gutierrez, CNM/WHNP-BC sits

This provider among advanced practice midwife peers

Across the 571 advanced practice midwife providers who report both Medicare Part D prescribing and a MIPS quality score, Elena Gutierrez, CNM/WHNP-BC writes more Part D claims than 56% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 33Elena Gutierrez, CNM/WHNP-BC, Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 87
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one advanced practice midwife peer from a representative sample of 60; the gold marker is Elena Gutierrez, CNM/WHNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Elena Gutierrez, CNM/WHNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 05/16/2022

NPI 1366189870

Primary specialty

Advanced Practice Midwife

Mid-sized

11,199 US NPIs in this specialty

Medicare Part D claims

36 64% vs specialty avg

2024 prescription claims

Specialty avg: 100

MIPS final score

96.5/100 13 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in California

How Advanced Practice Midwife compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Advanced Practice Midwife0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Elena Gutierrez, CNM/WHNP-BC's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

High performer (top quartile)
MIPS Final Score
96.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%96.5%
MIPS final score (Advanced Practice Midwife) - 96.5/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

1505 SOQUEL DR STE 1
Santa Cruz, CA 95065
(831) 465-5440

Provider Details

NPI 1366189870
Specialty Advanced Practice Midwife
Credentials CNM/WHNP-BC
Gender Female
NPI Issued 05/16/2022

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.5085
Final Score
Measured-score avg: 83.5
80.342
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Elena Gutierrez, CNM/WHNP-BC. To verify Elena Gutierrez, CNM/WHNP-BC's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

36
Total Claims
$1K
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
67.333
Total Day Supply
1,706
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.17
Gender Split
100% female / 0% male
More Advanced Practice Midwife in CA → All providers in California → Compare specialties →

Advanced Practice Midwife Overview

How Elena Gutierrez, CNM/WHNP-BC fits within the Advanced Practice Midwife landscape nationally.

11,199
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
100
Avg Claims per Provider

Elena Gutierrez, CNM/WHNP-BC's 36 claims are below the specialty average of 100.

Nationwide Advanced Practice Midwife peers with similar MIPS or enrollment year

Two federal-record peer sets for Gutierrez, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (96.5 here).

Cynthia Messer 96.6 MS Linda Bakker 96.2 TN Hadlea Eubanks 96.2 TN Margaret Fulmer Brasel 96.2 TN

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Kerry Calavano Port Angeles, WA Adrienne Christner Gallup, NM Megan Malone Carmel, IN Victoria Sundquist Fort Collins, CO

Nearby Advanced Practice Midwife Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Gutierrez.

One of 873 Advanced Practice Midwife providers enrolled in California, 5 are shown here.

Brie Abbe
CNM
Ukiah, CA
Nadia Abu-Douleh
MSN CNM WHNP-BC
La Jolla, CA
Liliana Acevedo Miramontes
CNM, WHNP-BC
Garden Grove, CA
Patricia Achilly
CNM
San Diego, CA
Deena Adams
CNM/NP
Fresno, CA

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is Elena Gutierrez, CNM/WHNP-BC's specialty? ▼
Elena Gutierrez, CNM/WHNP-BC specializes in Advanced Practice Midwife and practices in Santa Cruz, California. Credentials: CNM/WHNP-BC.
How much does Elena Gutierrez, CNM/WHNP-BC prescribe under Medicare Part D? ▼
In 2024, Elena Gutierrez, CNM/WHNP-BC wrote 36 Medicare Part D claims totaling $1K in drug costs for 20 beneficiaries.
What is Elena Gutierrez, CNM/WHNP-BC's Medicare quality score? ▼
Elena Gutierrez, CNM/WHNP-BC has a CMS MIPS Final Score of 96.5/100 (Quality: 80.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elena Gutierrez, CNM/WHNP-BC located? ▼
Elena Gutierrez, CNM/WHNP-BC is located at 1505 SOQUEL DR STE 1, Santa Cruz, CA, 95065. Phone: (831) 465-5440.
What is Elena Gutierrez, CNM/WHNP-BC's NPI number? ▼
Elena Gutierrez, CNM/WHNP-BC's National Provider Identifier (NPI) is 1366189870, issued on 05/16/2022.
How many Advanced Practice Midwife providers are there in the US? ▼
There are 11,199 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 100 Medicare Part D claims per year.
Does Elena Gutierrez, CNM/WHNP-BC accept Medicare? ▼
Elena Gutierrez, CNM/WHNP-BC appears in CMS Medicare data with 36 Part D claims and 20 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elena Gutierrez, CNM/WHNP-BC's credentials? ▼
Elena Gutierrez, CNM/WHNP-BC's NPI is 1366189870 with credentials CNM/WHNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.