Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bala Michael Wambebe

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1265117659

Bala Michael Wambebe is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2023, 3 years ago. Practices with Community Bridges Inc, a 107-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

2910 S Greenfield Rd Apt #2085
Gilbert, AZ 85295
Phone: (915) 228-0283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 226621 (AZ)

Record details

NPI number1265117659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address2910 South Greenfield Road, Apt. #2085, Gilbert, AZ 85295

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Bridges Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gilbert