NICOLE M. GULLICKSON M.D.
NPI 1174783211
Family Medicine in Fargo, ND

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
85.54/100
CMS Quality Rating
2400 32ND AVE S, FARGO, ND 58103(701) 234-8800 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole M. Gullickson M.d. NPPES

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

NICOLE M. GULLICKSON M.D. (NPI 1174783211) is an individual family medicine provider in Fargo, North Dakota, licensed in North Dakota (11974) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with West River Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2019).

NPPES Registry Identity

NPI1174783211
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE M. GULLICKSONCredential: M.D.
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address2400 32nd Ave SFargo, ND 58103-5800
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2019
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 19, 2012
NPI 1174783211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ND · 11974 Licensed in IA · R-8325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 32ND AVE S, Fargo, ND 58103

Other Identifiers 3

Medicaid16268ND
Medicare PINN717126ND
Medicare PINN717125ND

Accepted Insurance

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

Nicole M. Gullickson M.d. 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 ID9830238245
PECOS Enrollment IDI20220825001331
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 4

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

West River Regional Medical Center

Critical Access Hospitals · Hettinger, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351330
Location1000 Highway 12Hettinger, ND 58639 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

85.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.91
Promoting Interoperability97
Improvement Activities40
Cost62.68

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.

Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103

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 Nicole Gullickson's NPI number?

The NPI number for Nicole Gullickson is 1174783211. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Nicole Gullickson located?

Nicole Gullickson practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8800.

What is Nicole Gullickson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Gullickson enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Gullickson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Nicole Gullickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Gullickson affiliated with any hospitals?

According to CMS data, Nicole Gullickson is affiliated with West River Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Gullickson was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.