Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Leodyu Gbehan, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1568170769

Timothy Leodyu Gbehan, NURSEPRACTITIONER is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2023, 3 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

715 S 8th St
Minneapolis, MN 55404-7530
Phone: (612) 873-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 9704 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 9704 (MN)

Record details

NPI number1568170769
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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