Individual provider Active NPI

Tricia Decontee Gabriel, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Des Moines, IA
National Provider Identifier
1851131395
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
G179302 Issued in IA
Practice address
2500 University Ave
Des Moines, IA 50311-4504
Phone
(515) 710-6856
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X G179302 IA Primary

Addresses

Primary practice location

2500 University Ave
Des Moines, IA 50311-4504

Mailing address

2500 University Ave
Des Moines, IA 50311-4504
Phone (515) 710-6856

Other practice location 1

2515 NW 44th St
Ankeny, IA 50023-8398
Phone (515) 710-6856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250709000134 IA Practitioner - Nurse Practitioner 9032623475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G179302IAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Midwest Behavioral Health LLC CurrentSince May 9, 2025 Accepting new patients
Bethesda Health & Wellness Services , LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

1450 NW 114th St
Clive, IA 50325
Phone (515) 553-6200

2500 University Ave
Des Moines, IA 50311
Phone (515) 710-6856

Organizations & group practices 2

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1851131395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114504",
            "telephone_number": "515-710-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114504",
            "telephone_number": "515-710-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 NW 44th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500238398",
            "country_code": "US",
            "telephone_number": "515-710-6856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "TRICIA",
        "middle_name": "DECONTEE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G179302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.