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PRINCESS GEHYIGON-WALLACE
NPI 1275190027
Nurse Practitioner - Psychiatric/Mental Health in Fridley, MN

Active since May 28, 2019PECOS Enrolled
7362 UNIVERSITY AVE NE STE 310-3, FRIDLEY, MN 55432(612) 567-9587(763) 201-3093 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Jun 4, 2019, May 28, 2019 (3 updates tracked since 2019).

About Princess Gehyigon-wallace NPPES

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

PRINCESS GEHYIGON-WALLACE (NPI 1275190027) is an individual psychiatric/mental health provider in Fridley, Minnesota, licensed in Minnesota (6598) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275190027
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePRINCESS GEHYIGON-WALLACE
Location Address7362 UNIVERSITY AVE NE STE 310-3Fridley, MN 55432-3142
Mailing Address7362 University Ave Ne # 310-3Fridley, MN 55432-3142 · (651) 628-9566
Phone(612) 567-9587
Fax(763) 201-3093
Sole ProprietorNo
Enumeration DateMay 28, 2019
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1275190027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 6598
7362 UNIVERSITY AVE NE STE 310-3, Fridley, MN 55432
Open in Google Maps ↗

Other Names 1

Former Name (1)Princess Gehyigon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Princess Gehyigon-wallace 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 55432 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA'S OPEN HANDS PLLC
Clinic/Center
7362 UNIVERSITY AVE NE STE 310-3
FRIDLEY, MN 55432
Anoka County (612) 567-9587

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 Princess Gehyigon-wallace's NPI number?

The NPI number for Princess Gehyigon-wallace is 1275190027. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as Princess Gehyigon.

Where is Princess Gehyigon-wallace located?

Princess Gehyigon-wallace practices at 7362 University Ave NE Ste 310-3, Fridley, MN 55432. The listed phone number is (612) 567-9587.

What is Princess Gehyigon-wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Princess Gehyigon-wallace enrolled in Medicare?

Yes. Princess Gehyigon-wallace is registered in the Medicare PECOS enrollment system.

What insurance does Princess Gehyigon-wallace accept?

Health plans from HealthPartners and Providence Health Plan list Princess Gehyigon-wallace 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 Princess Gehyigon-wallace was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.