NBALLU GOBA FNP
NPI 1386169241
Nurse Practitioner - Family in Minnetonka, MN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nballu Goba Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nballu Goba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy Springs, GA 30328
- Reassigned Medicare billing, Georgia enrollment
- 45 clinicians in this Medicare group
Griffin, GA 30224
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
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 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.
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.
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 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.
Where is Nballu Goba located?
Nballu Goba practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (404) 291-4680.
What is Nballu Goba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nballu Goba enrolled in Medicare?
Yes. Nballu Goba is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nballu Goba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nballu Goba reassigns Medicare benefits to 2 organizations: Wellbe Senior Medical Group Of Georgia, P. C. (Sandy Springs, GA) and Reliance Health And Home Physician Services, Inc. (Griffin, GA). 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 Nballu Goba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Nballu Goba, FNP · NPI 1386169241
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since August 11, 2017.
## Identity
- **NPI:** 1386169241 (Entity type: Individual)
- **Enumerated:** August 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0184367 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (404) 291-4680
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Wellbe Senior Medical Group Of Georgia, P. C. (NPI 1205463163, Sandy Springs, GA); Reliance Health And Home Physician Services, Inc. (NPI 1740638436, Griffin, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1386169241) · Data from the CMS NPPES public registry.