GREGORY PAUL ULLSTROM L..P..C.
NPI 1710626239
Counselor - Professional in Madison, WI
About Gregory Paul Ullstrom L..p..c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY PAUL ULLSTROM L..P..C. (NPI 1710626239) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (11073-125) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Gregory Paul Ullstrom L..p..c. 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.
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 Gregory Ullstrom's NPI number?
The NPI number for Gregory Ullstrom is 1710626239. It was assigned to this individual provider in the NPPES registry on June 2, 2022.
Where is Gregory Ullstrom located?
Gregory Ullstrom practices at 122 W Washington Ave, Madison, WI 53703. The listed phone number is (262) 999-3495.
What is Gregory Ullstrom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gregory Ullstrom enrolled in Medicare?
Yes. Gregory Ullstrom 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 Gregory Ullstrom accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Providence Health Plan and Quartz and 1 other insurer list Gregory Ullstrom 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.
When was this NPI record last updated?
The NPPES record for Gregory Ullstrom was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gregory Paul Ullstrom, L..P..C. · NPI 1710626239
Professional provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since June 2, 2022.
## Identity
- **NPI:** 1710626239 (Entity type: Individual)
- **Enumerated:** June 2, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11073-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 122 W WASHINGTON AVE, Madison, WI 53703-2718
- **Phone:** (262) 999-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710626239) · Data from the CMS NPPES public registry.