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DR. SALLY M GESEMBE
NPI 1174328140
Nurse Practitioner - Family in Rogers, MN

Active since February 14, 2025PECOS Enrolled
13571 HYNES RD, ROGERS, MN 55374(612) 242-9833 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sally M Gesembe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY M GESEMBE (NPI 1174328140) is an individual family provider in Rogers, Minnesota, licensed in Minnesota (12516) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174328140
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SALLY M GESEMBE
Location Address13571 HYNES RDRogers, MN 55374-9502
Mailing Address13571 Hynes RdRogers, MN 55374-9502 · (612) 242-9833
Phone(612) 242-9833
Sole ProprietorNo
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1174328140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 12516
13571 HYNES RD, Rogers, MN 55374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally M Gesembe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Gesembe's NPI number?

The NPI number for Sally Gesembe is 1174328140. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Sally Gesembe located?

Sally Gesembe practices at 13571 Hynes Rd, Rogers, MN 55374. The listed phone number is (612) 242-9833.

What is Sally Gesembe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sally Gesembe enrolled in Medicare?

Yes. Sally Gesembe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Gesembe was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.