GABRIELA R SELF PMHNP
NPI 1801556550
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT
About Gabriela R Self Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELA R SELF PMHNP (NPI 1801556550) is an individual psychiatric/mental health provider in Hartford, Connecticut, licensed in Connecticut (12.010442) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Gabriela R Self Pmhnp 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
2Medicare enrollment records show Gabriela Self reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 140 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
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 Gabriela Self's NPI number?
The NPI number for Gabriela Self is 1801556550. It was assigned to this individual provider in the NPPES registry on December 22, 2021.
Where is Gabriela Self located?
Gabriela Self practices at 200 Retreat Ave, Hartford, CT 06102. The listed phone number is (860) 545-7000.
What is Gabriela Self's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gabriela Self enrolled in Medicare?
Yes. Gabriela Self 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 Gabriela Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Self reassigns Medicare benefits to 2 organizations: Hartford Hospital (Hartford, CT) and Connecticut Mental Health Specialists Inc (Farmington, CT). 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 Gabriela Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gabriela Self was last updated on March 9, 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.
# Gabriela R Self, PMHNP · NPI 1801556550
Psychiatric/Mental Health physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since December 22, 2021.
## Identity
- **NPI:** 1801556550 (Entity type: Individual)
- **Enumerated:** December 22, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 12.010442 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 RETREAT AVE, Hartford, CT 06102-3101
- **Phone:** (860) 545-7000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1407806391, Hartford, CT); Connecticut Mental Health Specialists Inc (NPI 1053362814, Farmington, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 9, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1801556550) · Data from the CMS NPPES public registry.