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HOLLEY GULLICKSON
NPI 1023025517
Nurse Practitioner in Robbinsdale, MN

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
3366 OAKDALE AVE N, SUITE 605, ROBBINSDALE, MN 55422(763) 520-2940 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holley Gullickson NPPES

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

HOLLEY GULLICKSON (NPI 1023025517) is an individual nurse practitioner in Robbinsdale, Minnesota, licensed in Minnesota (R1551082) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023025517
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLEY GULLICKSON
Location Address3366 OAKDALE AVE N, SUITE 605Robbinsdale, MN 55422-2948
Mailing Address3366 Oakdale Ave N, Suite 605Robbinsdale, MN 55422-2948
Phone(763) 520-2940
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023025517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · R1551082
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3366 OAKDALE AVE N, Robbinsdale, MN 55422
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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 and accepts Medicare assignment

Holley Gullickson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345255535
PECOS Enrollment IDI20060208000845
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
132 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
43 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services25 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
22 services18 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
81%239 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%154 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%78 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%47 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%117 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 55 patients
0%55 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 154 patients
Patients totalRate: 3% · 157 patients
2%157 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier18 claims18 services$923.63 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.24 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers14 claims14 services$17.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LISA MARIE HROMADKA PA-C
Physician Assistant
3366 OAKDALE AVE N, SUITE 103
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-7870
MARGARET A BARANOWSKI PA-C
Physician Assistant
3366 OAKDALE AVE N, SUITE 103
ROBBINSDALE, MN 55422
Hennepin County (763) 520-7870
MARY SHIELDS NP
Nurse Practitioner (Gerontology)
3366 OAKDALE AVE N, SUITE 551
ROBBINSDALE, MN 55422
Hennepin County (763) 587-7737
ALLYSA JACOBSON
Nurse Practitioner (Psychiatric/Mental Health)
3366 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 581-5372
JERROLD MARTIN STEMPEL MD
Internal Medicine (Gastroenterology)
3366 OAKDALE AVE N, SUITE 315
ROBBINSDALE, MN 55422
Hennepin County (763) 520-7900
STEVEN T MESTITZ MD
Surgery
3366 OAKDALE AVE N, SUITE 200 MAIL STOP 33500A
ROBBINSDALE, MN 55422
Hennepin County (763) 287-5000
DR. KARIN M TANSEK MD
Specialist
3366 OAKDALE AVE N, 150
ROBBINSDALE, MN 55422
Hennepin County (763) 520-7840
KENAN C. GUILMETTE PA-C
Physician Assistant
3366 OAKDALE AVE N, 315
ROBBINSDALE, MN 55422
Hennepin County (763) 587-7900

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 Holley Gullickson's NPI number?

The NPI number for Holley Gullickson is 1023025517. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Holley Gullickson located?

Holley Gullickson practices at 3366 Oakdale Ave N Suite 605, Robbinsdale, MN 55422. The listed phone number is (763) 520-2940.

What is Holley Gullickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holley Gullickson enrolled in Medicare?

Yes. Holley Gullickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Holley Gullickson affiliated with any hospitals?

According to CMS data, Holley Gullickson is affiliated with Abbott Northwestern Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Holley Gullickson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.