GABRIELA R SELF PMHNP
NPI 1801556550
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT

Active since December 22, 2021PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
200 RETREAT AVE, HARTFORD, CT 06102(860) 545-7000 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2022, Dec 22, 2021 (2 updates tracked since 2021).

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

NPI1801556550
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGABRIELA R SELFCredential: PMHNP
Location Address200 RETREAT AVEHartford, CT 06102-3101
Mailing Address200 Retreat AveHartford, CT 06102-3101 · (860) 545-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 22, 2021
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1801556550 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 CT · 12.010442
200 RETREAT AVE, Hartford, CT 06102

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

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.

PECOS PAC ID1355736794
PECOS Enrollment IDI20220321002265
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services24 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
200 RETREAT AVE
HARTFORD, CT 06102
Psychologist (Clinical)
200 RETREAT AVE
HARTFORD, CT 06102
Clinical Neuropsychologist
200 RETREAT AVE
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE
HARTFORD, CT 06102
Social Worker
200 RETREAT AVE
HARTFORD, CT 06102
Social Worker
200 RETREAT AVE
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
200 RETREAT AVE
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.

When was this NPI record last updated?

The NPPES record for Gabriela Self was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.