NBALLU GOBA FNP
NPI 1386169241
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Nballu Goba's NPI number?

The NPI number for Nballu Goba is 1386169241. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Q: What is Nballu Goba's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nballu Goba was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 11, 2017PECOS Enrolled

9900 BREN RD E, MINNETONKA, MN 55343(404) 291-4680 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Aug 11, 2017 (2 updates tracked since 2017).

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About Nballu Goba Fnp NPPES

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

NBALLU GOBA FNP (NPI 1386169241) is an individual family provider in Minnetonka, Minnesota, licensed in Georgia (0184367) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386169241

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNBALLU GOBACredential: FNP

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address9900 Bren Rd EMinnetonka, MN 55343-9664 · (404) 291-4680

Phone(404) 291-4680

Sole ProprietorYes

Enumeration DateAugust 11, 2017

Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1386169241 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 GA · 0184367

9900 BREN RD E, Minnetonka, MN 55343

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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)

Nballu Goba Fnp 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 55343 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 20

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

MAVIS OSEI YEBOAH NURSE PRACTITIONER

Nurse Practitioner