Sabrinah Azriel Jackson, MSN,APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1133181 Issued in TX

Practice address

725 S Mesa Hills Dr Ste 1
El Paso, TX 79912-5568

Phone

(915) 887-3410

Fax

(833) 429-7758

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sabrinah Jackson-Contreras Other name

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• El Paso Community MHMR

  • Multi-Specialty Clinic/Center
  • El Paso, TX
  • NPI 1649345869
  Medicare reassignment Care Compare group NPD
• El Paso Community MHMR

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1033806278
  NPD
• Carroll W. Thornburg D.O.,P.a.

  • Addiction Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1639368764
  NPD (past)
• El Paso Community MHMR

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1073968749
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1962287102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 EMERALD ACRES",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282517",
            "telephone_number": "915-494-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S MESA HILLS DR STE 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125568",
            "telephone_number": "915-887-3410",
            "fax_number": "833-429-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SABRINAH",
        "middle_name": "AZRIEL",
        "credential": "MSN,APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1133181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINAH",
            "last_name": "JACKSON-CONTRERAS",
            "credential": "MSN,APRN, PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Jackosky, M.D.
• George Walker Jackson, MD
• John S Jackson, DO
• John W Jackson, LPC
• Mayela Jackson, NP
• Terry Lamont Jackson, BARBER
• Jacob S. Heydemann M.D. PA
• Jacob S. Heydemann M.D. PA
• Michael Joseph Jacobs, APRN FNP-C ENP-C DNP
• Robert Kenan Jacobs, M.D.

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.