MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336838028

MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) is a healthcare provider. based in Crystal, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 10191 (MN). The NPI Number for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) is 1336838028

Main info

Female
4 Years Of Experience
Name
MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP)
NPI
1336838028
Phone
(763) 330-2774
Address
5700 Bottineau Blvd Ste 210
Enumeration Date
8 May 2023
Last Update Date
19 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513795157
Graduation Year
2022 (4 years ago)
PAC ID
4284169152
Group Practice PAC ID
5193756104
Professional Enrollment ID
I20241202001839
Address ID
MN551043898SA1600XWXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP)

  • 5700 Bottineau Blvd Ste 210

    Crystal, MN 554293184

    Phone: (763) 330-2774

    Fax: (763) 330-2775

    Type: Location

  • 1400 ENERGY PARK DR

    SAINT PAUL, MN 551085272

    Phone: (651) 252-6070

    Fax: (651) 252-6071

    Type: Mailing

  • 1600 UNIVERSITY AVE W

    SAINT PAUL, MN 551043898

    Phone: (651) 379-5157

    Fax: (651) 379-5159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241202001839INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193756104View full group profile
NameSpecialtyState
-WI
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorCO
Marriage And Family TherapistMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Is there an official ID for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) in U.S. healthcare records?
The official identifier for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) is NPI 1336838028.
Is there an active status for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP)?
For scheduling context, MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) is shown as active in the registry.
What kind of doctor is MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP)?
MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP)?
Directory geography for MS. FLORENCE OLUWAFUNMILOLA GBADEHAN (PMHNP) centers on Crystal, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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