PRINCESS GEHYIGON-WALLACE
NPI 1275190027
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis Park, MN
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 Saint Louis Park, Minnesota, licensed in Minnesota (6598) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fridley.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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).
Medicare Billing Reassignments
3Medicare 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.
New Brighton, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
- 794 clinicians in this Medicare group
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Marthas Open Hands PLLC
- 2 clinicians in this Medicare group
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
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 55416 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416. The listed phone number is (952) 993-1000.
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: Nystrom & Associates, Ltd (New Brighton, MN), Martha's Open Hands PLLC (Fridley, 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 and Medica 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 October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Princess Gehyigon-Wallace · NPI 1275190027
Psychiatric/Mental Health physician in Saint Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since May 28, 2019.
## Identity
- **NPI:** 1275190027 (Entity type: Individual)
- **Enumerated:** May 28, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 6598 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PARK NICOLLET BLVD, Saint Louis Park, MN 55416-2527
- **Phone:** (952) 993-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN); Martha's Open Hands PLLC (NPI 1235857673, Fridley, MN); Balanzen Mental Health Corp. (NPI 1437923117, Apple Valley, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275190027) · Data from the CMS NPPES public registry.