NICHOLAS GAMMELLO
NPI 1558383000
Psychologist in Brainerd, MN
About Nicholas Gammello NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS GAMMELLO (NPI 1558383000) is an individual psychologist in Brainerd, Minnesota, licensed in Minnesota (1437) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas Gammello is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Gammello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicholas Gammello's NPI number?
The NPI number for Nicholas Gammello is 1558383000. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Nicholas Gammello located?
Nicholas Gammello practices at 18510 State Highway 371 Ste D, Brainerd, MN 56401. The listed phone number is (218) 838-4209.
What is Nicholas Gammello's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Nicholas Gammello enrolled in Medicare?
Yes. Nicholas Gammello is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicholas Gammello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Gammello reassigns Medicare benefits to Lakeview Behavioral Health Inc. (Grand Rapids, MN). 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 Nicholas Gammello'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 Nicholas Gammello was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.