Individual provider Active NPI

Hrokuku P. V Mimbar, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1972475713
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033630 Issued in PA
Practice address
4387 W Swamp Rd # 599
Doylestown, PA 18902-1039
Phone
(455) 530-9128
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 Nurse Practitioner 363LP0808X SP033630 PA Primary

Addresses

Primary practice location

4387 W Swamp Rd # 599
Doylestown, PA 18902-1039

Mailing address

4387 W Swamp Rd # 599
Doylestown, PA 18902-1039
Phone (455) 530-9128

Other names 1

  • Kay Mimbar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260402000639 PA Practitioner - Nurse Practitioner 9234614157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Cornerstone CT
Doylestown, PA 18901-2986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP033630PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kay'S Kare LLC CurrentSince Sep 28, 2025 Accepting new patients
Stonebrook Behavioral Health LLC Psychiatric/Mental Health CurrentSince Feb 13, 2026 Accepting new patients

Locations

4387 W Swamp Rd
Doylestown, PA 18902
Phone (215) 370-7445

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": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1972475713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4387 W SWAMP RD # 599",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021039",
            "telephone_number": "455-530-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4387 W SWAMP RD # 599",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021039",
            "telephone_number": "455-530-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMBAR",
        "first_name": "HROKUKU",
        "middle_name": "P. V",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "MIMBAR",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.