NPPES file of Aug 9, 2026

Gemma Dulosa Balcita

Psychiatric/Mental Health Nurse Practitioner · Carlsbad, CA

Gemma Dulosa Balcita is a psychiatric/mental health nurse practitioner with a practice address in Carlsbad, California, and NPI 1750033155, issued on Jan 26, 2022. Check the license (California 95019380, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1750033155
Name
Gemma Dulosa Balcita
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
95019380 CA
Self-reported in NPPES; status is on the state search
Practice location
5838 Edison PL, Carlsbad, CA 92008
Phone
(888) 515-3834
Enumerated
Jan 26, 2022
Record last updated
Dec 26, 2022
Medicaid ID
529902 CA
Medicare enrollment
Enrolled (PECOS I20220404002309); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5838 Edison PL

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mary Headley, FNPFamily Nurse Practitioner1114006665
  2. Natalie Hoxie, BCBABehavior Analyst1891128054
  3. Tracy Markov, M.A., BCBABehavior Analyst1548580616

Verify Gemma Dulosa Balcita in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 95019380
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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88% fewer Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024

112 Medicare Part D claims for 31 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D.

  1. Gemma Balcita112
  2. Specialty average906

Most prescribed

  1. Memantine Hcl17 claims
  2. Valproic Acid16 claims
  3. Sertraline Hcl15 claims
  4. Buspirone Hcl13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 80.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score87.9
  2. Costout of 100 · 30%18.1
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $792.81

7 payments; by number, the most common kind was food and beverage; the largest payer was Neurocrine Biosciences, Inc. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Gemma Balcita$792.81
  2. Specialty average$1,027.77

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Advantage Neuropsychiatric AssocOrange, CA
  2. Datnguyen, M.D., Inc.San Diego, CA
  3. Memory Check Psychological Services, A Professional CorporationCarlsbad, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

33 psychiatric/mental health nurse practitioner records list a practice address in Carlsbad

They are 33 of the 3,411 NPPES records with a practice address in Carlsbad, and 4,226 psychiatric/mental health nurse practitioner records in California.

Other psychiatric/mental health nurse practitioner records in California

  1. Cristina Aamot, NPSanta Ana, CA1356563167
  2. Calista Abaekobe, NPCulver City, CA1205590338
  3. Jane Abanes, NPSan Francisco, CA1821385675
  4. Pamela Joy Abao, NPValencia, CA1093178261
  5. Kazeem AbassLos Angeles, CA1518434281
  6. Nefretiri Abat, PMHNP-BCHayward, CA1184324014
  7. Oluwakemi AbayomiLos Angeles, CA1598508913
  8. Natasha Abbas, PMHNPLong Beach, CA1619797834
  9. Taha Abdelwahhab, APRN-CNP, PMHNPHayward, CA1760670616
  10. Ralaine Abdon, NPSacramento, CA1124699855

Common questions

What is Gemma Dulosa Balcita's NPI number?

Gemma Dulosa Balcita's National Provider Identifier (NPI) is 1750033155, issued on Jan 26, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Gemma Dulosa Balcita located?

The NPPES record lists a practice address at 5838 Edison PL, Carlsbad, CA, 92008. Phone: (888) 515-3834. Providers update this record themselves, so call before visiting.

How can I verify Gemma Dulosa Balcita's license?

NPPES lists California license number 95019380, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Gemma Dulosa Balcita prescribe under Medicare Part D?

In 2024, Gemma Dulosa Balcita had 112 Medicare Part D claims for 31 beneficiaries; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.

What is Gemma Dulosa Balcita's MIPS final score?

The 2023 MIPS final score is 80.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.