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DR. NICOLE M GULLICK M.D.
NPI 1295722718
Family Medicine in Tucson, AZ

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
6367 E TANQUE VERDE ROAD, SUITE 200, TUCSON, AZ 85715(520) 290-5888(520) 290-5551 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicole M Gullick M.d. NPPES

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

DR. NICOLE M GULLICK M.D. (NPI 1295722718) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (23648) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1295722718
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLE M GULLICKCredential: M.D.
Location Address6367 E TANQUE VERDE ROAD, SUITE 200Tucson, AZ 85715-3832
Mailing Address6367 E Tanque Verde Road, Suite 200Tucson, AZ 85715-3832 · (520) 290-5888 · Fax (520) 290-5551
Phone(520) 290-5888
Fax(520) 290-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 30, 2016
✔ NPI 1295722718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 23648✔ Licensed in NV · 16213
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.
6367 E TANQUE VERDE ROAD, Tucson, AZ 85715
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Other Names 1

Former Name (1)Dr. Nicole M Eckerstrom M.d.

Other Identifiers 5

Medicare UPIN63742AZ
Medicaid401604-03AZ
Medicare PINPENDINGNV
Medicare UPING49310AZ
Medicaid1295722718NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole M Gullick 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 ID749272573
PECOS Enrollment IDI20151112000630
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Gullick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Ynez Band Of Mission Indians
558 mi
Federally Qualified Health Center (FQHC)
90 VIA JUANA LANE
Santa Ynez, CA 93460
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1992779417 (805) 688-7070

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 85715 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAY K. PARK M.D.
Internal Medicine
6367 E TANQUE VERDE ROAD, SUITE 200
TUCSON, AZ 85715
Pima County (520) 290-5888
DR. WILLIAM G. ODETTE M.D.
Internal Medicine
6367 E TANQUE VERDE ROAD, SUITE 200
TUCSON, AZ 85715
Pima County (520) 290-5888

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 Gullick's NPI number?

The NPI number for Nicole Gullick is 1295722718. It was assigned to this individual provider in the NPPES registry on September 29, 2005. The provider is also known as Dr. Nicole M Eckerstrom M.D..

Where is Nicole Gullick located?

Nicole Gullick practices at 6367 E Tanque Verde Road Suite 200, Tucson, AZ 85715. The listed phone number is (520) 290-5888.

What is Nicole Gullick's specialty?

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

Is Nicole Gullick enrolled in Medicare?

Yes. Nicole Gullick 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.

Which organization bills Medicare for Nicole Gullick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gullick reassigns Medicare benefits to Santa Ynez Band Of Mission Indians (Santa Ynez, CA). The 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 Nicole Gullick'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 Nicole Gullick was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.