GUADALUPE CLEMENTINA GABBA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063701126

GUADALUPE CLEMENTINA GABBA (PMHNP-BC) is a healthcare provider. based in Beaverton, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 201391918NP-PP (OR). The NPI Number for GUADALUPE CLEMENTINA GABBA (PMHNP-BC) is 1063701126

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
GUADALUPE CLEMENTINA GABBA (PMHNP-BC)
NPI
1063701126
Phone
(971) 358-9292
Address
16100 NW Cornell Rd Ste 190
Enumeration Date
29 March 2011
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034473285
Graduation Year
2013 (13 years ago)
PAC ID
7911220058
Group Practice PAC ID
7214277383
Professional Enrollment ID
I20141222002680
Address ID
OR972222137PO6400XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for GUADALUPE CLEMENTINA GABBA (PMHNP-BC)

  • 16100 NW Cornell Rd Ste 190

    Beaverton, OR 970068104

    Phone: (971) 358-9292

    Fax: (503) 917-4971

    Type: Location

  • 140 SOUTH HOLLY STREET

    MEDFORD, OR 97501

    Phone: (541) 774-8200

    Fax: (541) 774-7964

    Type: Mailing

  • 2500 WILLAMETTE FALLS DR STE 203

    WEST LINN, OR 970684722

    Phone: (503) 302-0303

    Fax: (503) 657-3957

    Type: Location

  • 6400 SE LAKE RD STE 430

    PORTLAND, OR 972222129

    Phone: (971) 368-9292

    Fax: (503) 917-4971

    Type: Mailing

  • 6400 SE LAKE RD STE 155

    PORTLAND, OR 972222137

    Phone: (971) 368-9292

    Fax: (503) 917-4971

    Type: Location

  • 9800 SE SUNNYSIDE RD

    CLACKAMAS, OR 970159750

    Phone: (503) 513-7437

    Fax: (503) 331-6425

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $770.

Total Amount is formed as General ($770) + Research ($0) + Ownership ($0) = $770.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($498).

Total Amount

$770

General + Research + Ownership

Payments

11

Total payment records

General Amount

$770

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

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: 2019-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141222002680INurse PractitionerORTBD
I20190205000915INurse PractitionerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97006)

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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: 7214277383View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Where can patients find GUADALUPE CLEMENTINA GABBA (PMHNP-BC)'s NPI?
You can confirm GUADALUPE CLEMENTINA GABBA (PMHNP-BC) with NPI 1063701126; it appears in the national provider directory.
Is GUADALUPE CLEMENTINA GABBA (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize GUADALUPE CLEMENTINA GABBA (PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists GUADALUPE CLEMENTINA GABBA (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GUADALUPE CLEMENTINA GABBA (PMHNP-BC)'s primary listing?
We display Beaverton, Oregon because that is what the record indicates for GUADALUPE CLEMENTINA GABBA (PMHNP-BC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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