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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: October 18, 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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Princess Gehyigon-wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martha's Open Hands PLLC
Same address
Clinic/Center
7362 UNIVERSITY AVE NE STE 310-3
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Marthas Open Hands PLLC
  • 2 clinicians in this Medicare group
NPI 1235857673 (612) 567-9587
Nystrom & Associates, Ltd
2.7 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566
Balanzen Mental Health Corp.
25 mi
Clinic/Center
7630 145TH ST W STE 201
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1437923117 (612) 298-5176

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Princess Gehyigon-wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Princess Gehyigon-wallace reassigns Medicare benefits to 3 organizations: Martha's Open Hands PLLC (Fridley, MN), Nystrom & Associates, Ltd (New Brighton, MN) and Balanzen Mental Health Corp. (Apple Valley, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Princess Gehyigon-wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Princess Gehyigon-wallace accept?

Health plans from HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.