Omar Jerico Gabriel, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP8848 Issued in AZ

Practice address

3204 Kiersten LN
Kingman, AZ 86401-0609

Phone

(928) 279-9387

NPI assigned

Jul 23, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Pulmonology Group LLCGroup PAC ID 3274846001, 10 clinicians

Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score

99.61 of 100Reported as group

Quality

100

Improvement activities

40

Cost

88.22

Merit-based Incentive Payment System (MIPS)

Final score

84.85 of 100Reported as group

Quality

84.49

Promoting interoperability

83

Improvement activities

40

Cost

79.17

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gabriel.omar@direct.azkrmc.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1760652218
  Medicare reassignment Care Compare group NPD
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment Care Compare group NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  Medicare reassignment Care Compare group NPD
• Pulmonology Group LLC

  • Pulmonary Disease Physician
  • Bullhead City, AZ
  • NPI 1134507189
  Medicare reassignment Care Compare group NPD
• Carepro LLC

  • Health Service Clinic/Center
  • Kingman, AZ
  • NPI 1285420620
  NPD Authorized official
• Professional Staffing and Transport Services LLC

  • Non-emergency Medical Transport (VAN)
  • Kingman, AZ
  • NPI 1124735840
  NPD (past) Authorized official
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1205883725
  NPD
• Kingman Healthcare, Inc

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD
• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1235383548
  NPD (past)
• Slimming Grace LLC

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1104691468
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1427401652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 KIERSTEN LN",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864010609",
            "telephone_number": "928-279-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 KIERSTEN LN",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864010609",
            "telephone_number": "928-279-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "OMAR",
        "middle_name": "JERICO",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8848",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8848",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP8848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FSL Programs
• FSL Programs
• Lauren Fujita
• Debra D Fuller
• Margaret E Furchtbar, L.P.N.
• Alexis Gaggini
• Claudia L. Gallagher, PA-C
• Saleh Gani, DO
• Sarah D Gantenbein, LMT
• Janelle Renee Garcia, DO

• Adult Health Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.