HENRIETTA GYAMGBAH
NPI 1184458754
Nurse Practitioner - Family in Little Canada, MN
About Henrietta Gyamgbah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRIETTA GYAMGBAH (NPI 1184458754) is an individual family provider in Little Canada, Minnesota, licensed in Minnesota (10750) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Henrietta Gyamgbah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE CANADA, MN 55117
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 Henrietta Gyamgbah's NPI number?
The NPI number for Henrietta Gyamgbah is 1184458754. It was assigned to this individual provider in the NPPES registry on August 27, 2024.
Where is Henrietta Gyamgbah located?
Henrietta Gyamgbah practices at 91 Viking Dr W, Little Canada, MN 55117. The listed phone number is (952) 890-0940.
What is Henrietta Gyamgbah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Henrietta Gyamgbah enrolled in Medicare?
Yes. Henrietta Gyamgbah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Henrietta Gyamgbah accept?
Health plans from Medica list Henrietta Gyamgbah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Henrietta Gyamgbah was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Henrietta Gyamgbah · NPI 1184458754
Family physician in Little Canada, Minnesota. Individual provider, active in the CMS NPPES registry since August 27, 2024.
## Identity
- **NPI:** 1184458754 (Entity type: Individual)
- **Enumerated:** August 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10750 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 91 VIKING DR W, Little Canada, MN 55117-1753
- **Phone:** (952) 890-0940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184458754) · Data from the CMS NPPES public registry.