GUADALUPE CLEMENTINA GABBA PMHNP-BC
NPI 1063701126
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
6400 SE LAKE RD STE 155, PORTLAND, OR 97222(971) 368-9292(503) 917-4971 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2023, Jun 28, 2021, Mar 24, 2021 and 3 more (6 updates tracked since 2019).

About Guadalupe Clementina Gabba Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUADALUPE CLEMENTINA GABBA PMHNP-BC (NPI 1063701126) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201391918NP-PP) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaverton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063701126
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGUADALUPE CLEMENTINA GABBACredential: PMHNP-BC
Location Address6400 SE LAKE RD STE 155Portland, OR 97222-2137
Mailing Address6400 Se Lake Rd Ste 430Portland, OR 97222-2129 · (971) 368-9292 · Fax (503) 917-4971
Fax(503) 917-4971
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 29, 2011
Last NPPES UpdateFebruary 10, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1063701126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 201391918NP-PP
6400 SE LAKE RD STE 155, Portland, OR 97222

Secondary Practice Location 1

Location 116100 NW Cornell Rd Ste 190Beaverton, OR 97006-8104 · Phone (971) 358-9292 · Fax (503) 917-4971

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Guadalupe Clementina Gabba Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911220058
PECOS Enrollment IDI20141222002680
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
28 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Nurse Practitioner (Family)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Nurse Practitioner (Family)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guadalupe Gabba's NPI number?

The NPI number for Guadalupe Gabba is 1063701126. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Guadalupe Gabba located?

Guadalupe Gabba practices at 6400 SE Lake Rd Ste 155, Portland, OR 97222. The listed phone number is (971) 368-9292.

What is Guadalupe Gabba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Guadalupe Gabba enrolled in Medicare?

Yes. Guadalupe Gabba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Guadalupe Gabba accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Guadalupe Gabba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guadalupe Gabba was last updated on February 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.