Guadalupe Clementina Gabba, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR

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Guadalupe Clementina Gabba, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwest Iv, Llc and her current practice location is 6400 Se Lake Rd Ste 155, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 368-9292.

Guadalupe Clementina Gabba is licensed to practice in Oregon (license number 201391918NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063701126.

Contact Information

Guadalupe Clementina Gabba, PMHNP-BC
6400 Se Lake Rd Ste 155,
Portland, OR 97222-2137
(971) 368-9292
(503) 917-4971

Map and Direction




Provider's Profile

Full NameGuadalupe Clementina Gabba
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location6400 Se Lake Rd Ste 155, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Guadalupe Clementina Gabba graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1063701126
  • Provider Enumeration Date: 03/29/2011
  • Last Update Date: 02/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911220058
  • Enrollment ID: I20141222002680

Medical Identifiers

Medical identifiers for Guadalupe Clementina Gabba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063701126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201391918NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Iv, Llc721427738314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Guadalupe Clementina Gabba allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameCounty Of Jackson
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710933379
PECOS PAC ID: 2961398821
Enrollment ID: O20040226000541
Entity NameNorthwest Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023596541
PECOS PAC ID: 7214277383
Enrollment ID: O20190327002802
Entity NameDeep Insight Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669150884
PECOS PAC ID: 5092177923
Enrollment ID: O20230809003005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guadalupe Clementina Gabba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Guadalupe Clementina Gabba, PMHNP-BC
6400 Se Lake Rd Ste 430,
Portland, OR 97222-2129

Ph: (971) 368-9292		Guadalupe Clementina Gabba, PMHNP-BC
6400 Se Lake Rd Ste 155,
Portland, OR 97222-2137

Ph: (971) 368-9292

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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