Individual provider Active NPI

Gabriela Mimbela, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1578051066
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP146002 Issued in TX
Practice address
9940 Viscount Blvd.
Suite 100
El Paso, TX 79925
Phone
(915) 249-6639
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 775429 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP146002 TX Primary

Addresses

Primary practice location

9940 Viscount Blvd.
Suite 100
El Paso, TX 79925

Mailing address

3124 Zion LN
El Paso, TX 79904-3532
Phone (915) 637-7154

Other practice location 1

1600 Montana Ave
El Paso, TX 79902-5622
Phone (915) 887-3410

Other practice location 2

3124 Zion Ln
El Paso, TX 79904-3532
Phone (915) 637-7154

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gmimbela@epmh.life Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200629002824 TX Practitioner - Nurse Practitioner 1759703267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
775429TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR Current Accepting new patients
Leal Behavioral Health LLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
El Paso Community MHMR Psychiatric/Mental Health CurrentSince May 10, 2022 Accepting new patients
El Paso Community MHMR CurrentSince May 10, 2022 Accepting new patients
Med Management Associates CurrentSince Jul 1, 2024 Accepting new patients
El Paso Community MHMR Past Accepting new patients

Locations

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

1601 E Yandell Dr
Ste A
El Paso, TX 79902

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

9440 Viscount Blvd
Ste 100
El Paso, TX 79925
Phone (915) 249-6639

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

6044 Gateway Blvd E
Ste 405
El Paso, TX 79905
Phone (915) 593-5085

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1578051066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 ZION LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043532",
            "telephone_number": "915-637-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 VISCOUNT BLVD.",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-249-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Montana Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025622",
            "country_code": "US",
            "telephone_number": "915-887-3410",
            "fax_number": "915-351-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3124 Zion Ln",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799043532",
            "country_code": "US",
            "telephone_number": "915-637-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMBELA",
        "first_name": "GABRIELA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "775429",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP146002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmimbela@epmh.life",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9940 Viscount Blvd.",
            "address_2": "Suite 100",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.