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FARIDY MAYA MOMBELEUR
NPI 1245790914
Nurse Practitioner - Psychiatric/Mental Health in Decatur, TX

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
2000 S FM 51 STE C, DECATUR, TX 76234(940) 626-1848(940) 626-1849 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Aug 12, 2019, Mar 20, 2019 (3 updates tracked since 2019).

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

NPI1245790914
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFARIDY MAYA MOMBELEUR
Location Address2000 S FM 51 STE CDecatur, TX 76234-3702
Mailing Address1816 S Fm 51 Ste 400Decatur, TX 76234-3788 · (940) 626-1848 · Fax (940) 626-1849
Phone(940) 626-1848
Fax(940) 626-1849
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2019
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1245790914 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 TX · AP140998
2000 S FM 51 STE C, Decatur, TX 76234
Open in Google Maps ↗

Secondary Practice Location 1

Location 1118 S Mountain AveSpringerville, AZ 85938-5104 · Phone (928) 333-7151

Other Identifiers 2

OtherPENDINGTX · Bcbstx
MedicaidPENDINGTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and more.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

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.

PECOS PAC ID5991881070
PECOS Enrollment IDI20190911000175
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.

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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

What insurance does Faridy Mombeleur accept?

Health plans from Antidote Health Plan of Arizona, Inc., Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource and 5 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 3 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.