EMILY BROOK DE ALBA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639599574

EMILY BROOK DE ALBA (PMHNP-BC) is a healthcare provider. based in Poplar bluff, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. R077810 (AR). The NPI Number for EMILY BROOK DE ALBA (PMHNP-BC) is 1639599574

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY BROOK DE ALBA (PMHNP-BC)
NPI
1639599574
Phone
(573) 686-1200
Address
3001 WARRIOR LN
Enumeration Date
18 April 2014
Last Update Date
24 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736861200
Graduation Year
2020 (6 years ago)
PAC ID
5193156131
Group Practice PAC ID
2163410481
Professional Enrollment ID
I20200507001935
Address ID
MO639018685PO3001XLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for EMILY BROOK DE ALBA (PMHNP-BC)

  • 3001 WARRIOR LN

    POPLAR BLUFF, MO 639018685

    Phone: (573) 686-1200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 103 Open Payments records for all available years, with a total value of $1,885.

Total Amount is formed as General ($1,885) + Research ($0) + Ownership ($0) = $1,885.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alkermes, Inc. ($389).

Total Amount

$1,885

General + Research + Ownership

Payments

103

Total payment records

General Amount

$1,885

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200507001935INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99442Telephone medical discussion with physician, 11-20 minutes8021$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163410481View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerAR
Mental Health CounselorMO
Clinical Social WorkerMO
Nurse PractitionerMO
Clinical Social WorkerOK
Nurse PractitionerKY
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

What is the registry number for EMILY BROOK DE ALBA (PMHNP-BC)?
The registry entry for EMILY BROOK DE ALBA (PMHNP-BC) shows NPI 1639599574.
Is EMILY BROOK DE ALBA (PMHNP-BC)'s NPI status active today?
Active status means EMILY BROOK DE ALBA (PMHNP-BC)'s NPI record is not deactivated in the public file.
What services align with EMILY BROOK DE ALBA (PMHNP-BC)'s listing?
EMILY BROOK DE ALBA (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to EMILY BROOK DE ALBA (PMHNP-BC)?
EMILY BROOK DE ALBA (PMHNP-BC) shows a connection to Poplar Bluff, Missouri in registry-derived data.
Why is information missing for EMILY BROOK DE ALBA (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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