2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1609159854 PMHNP
Verify on CMS →

GAIL BERNSTEIN, PMHNP

Psychiatric/Mental Health Nurse Practitioner in DEL MAR, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
165
Medicare Part D claims · 11 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Industry payments
$44.23
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GAIL BERNSTEIN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner ([object Object]) practicing in DEL MAR, California with a Medicare Part D prescribing footprint of 165 claims across 11 beneficiaries . Industry payments of $44.23 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GAIL BERNSTEIN, PMHNP filed 165 Medicare Part D claims in 2023 across DEL MAR, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

GAIL BERNSTEIN, PMHNP at a glance

Quality data not reported

NPI registry status

Active

Issued 09/23/2011

NPI 1609159854

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

165 82% vs specialty avg

2023 prescription claims

Specialty avg: 927

Specialty distribution in California

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among California providers

California providers

Psychiatric/Mental Health Nurse Practitioner share within California

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within California

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GAIL BERNSTEIN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider practicing in DEL MAR, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PMHNP. NPI: 1609159854. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GAIL BERNSTEIN, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP credentials at 12865 POINTE DEL MAR WAY STE 210, DEL MAR, CA, 92014, with a listed phone of (855) 501-1004. NPI 1609159854 was issued on 09/23/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERNSTEIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 165 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $11K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12865 POINTE DEL MAR WAY STE 210
DEL MAR, CA 92014

Provider Details

NPI 1609159854
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials PMHNP
Gender Female
NPI Issued 09/23/2011

Hospital and facility affiliations

Facilities where GAIL BERNSTEIN, PMHNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MARK DAVID LEVINE MD PROFESSIONAL CORPORATION
DEL MAR, CA
SOKYAHEALTH MEDICAL GROUP PC
SAN DIEGO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GAIL BERNSTEIN, PMHNP. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

Corium, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to GAIL BERNSTEIN, PMHNP. To verify GAIL BERNSTEIN, PMHNP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

165
Total Claims
$11K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
239
Total Day Supply
6,892
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
51.6 years
Avg HCC Risk Score
1.11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
19
Quetiapine Fumarate
16
Lamotrigine
13
Buspirone Hcl
12
Fluoxetine Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Psychiatric/Mental Health Nurse Practitioner Overview

How GAIL BERNSTEIN, PMHNP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

GAIL BERNSTEIN, PMHNP's 165 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BERNSTEIN.

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAIL BERNSTEIN, PMHNP's specialty?
GAIL BERNSTEIN, PMHNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in DEL MAR, California. Credentials: PMHNP.
How much does GAIL BERNSTEIN, PMHNP prescribe under Medicare Part D?
In 2023, GAIL BERNSTEIN, PMHNP wrote 165 Medicare Part D claims totaling $11K in drug costs for 11 beneficiaries.
Where is GAIL BERNSTEIN, PMHNP located?
GAIL BERNSTEIN, PMHNP is located at 12865 POINTE DEL MAR WAY STE 210, DEL MAR, CA, 92014. Phone: (855) 501-1004.
What is GAIL BERNSTEIN, PMHNP's NPI number?
GAIL BERNSTEIN, PMHNP's National Provider Identifier (NPI) is 1609159854, issued on 09/23/2011.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does GAIL BERNSTEIN, PMHNP prescribe most often?
Based on 2023 Medicare Part D data, GAIL BERNSTEIN, PMHNP's most frequently prescribed drugs include Gabapentin, Quetiapine Fumarate, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAIL BERNSTEIN, PMHNP accept Medicare?
GAIL BERNSTEIN, PMHNP appears in CMS Medicare data with 165 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAIL BERNSTEIN, PMHNP's credentials?
GAIL BERNSTEIN, PMHNP's NPI is 1609159854 with credentials PMHNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology