FARIDY MAYA MOMBELEUR
NPI 1245790914
Nurse Practitioner - Psychiatric/Mental Health in Decatur, TX
About Faridy Maya Mombeleur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARIDY MAYA MOMBELEUR (NPI 1245790914) is an individual psychiatric/mental health provider in Decatur, Texas, licensed in Texas (AP140998) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springerville, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Faridy Maya Mombeleur 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.
Medicare Billing Reassignments
4Medicare enrollment records show Faridy Mombeleur reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, TX 76234
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Springerville, AZ 85938
- Reassigned Medicare billing, Arizona enrollment
- 18 clinicians in this Medicare group
New Albany, IN 47150
- Reassigned Medicare billing, Indiana enrollment
- 7 clinicians in this Medicare group
Wittmann, AZ 85361
- Reassigned Medicare billing, Arizona enrollment
- Also billed through NPI 1841282852 (Arizona)
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Faridy Mombeleur's NPI number?
The NPI number for Faridy Mombeleur is 1245790914. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Faridy Mombeleur located?
Faridy Mombeleur practices at 2000 S Fm 51 Ste C, Decatur, TX 76234. The listed phone number is (940) 626-1848.
What is Faridy Mombeleur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Faridy Mombeleur enrolled in Medicare?
Yes. Faridy Mombeleur 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.
Which organizations bill Medicare for Faridy Mombeleur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faridy Mombeleur reassigns Medicare benefits to 4 organizations: Haroon Siddique, MD, PA (Decatur, TX), White Mountain Regional Medical Center (Springerville, AZ), Associates In Counseling And Psychotherapy (New Albany, IN) and Community Hospital Association, Inc. (Wittmann, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faridy Mombeleur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Faridy Mombeleur accept?
Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource and 7 other insurers list Faridy Mombeleur 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 Faridy Mombeleur was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Faridy Maya Mombeleur · NPI 1245790914
Psychiatric/Mental Health physician in Decatur, Texas. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1245790914 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP140998 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 S FM 51 STE C, Decatur, TX 76234-3702
- **Phone:** (940) 626-1848 · **Fax:** (940) 626-1849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Haroon Siddique, MD, PA (NPI 1467614768, Decatur, TX); White Mountain Regional Medical Center (NPI 1699766592, Springerville, AZ); Associates In Counseling And Psychotherapy (NPI 1801948062, New Albany, IN); Community Hospital Association, Inc. (NPI 1770097123, Wittmann, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 19, 2022
- **Other identifiers:** Other PENDING (TX); Medicaid PENDING (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1245790914) · Data from the CMS NPPES public registry.