Holley Gullickson, - Medicare Nurse Practitioner in Robbinsdale, MN

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Holley Gullickson, is a medicare enrolled "Nurse Practitioner" in Robbinsdale, Minnesota. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Curana Health Of Minnesota Pllc, Lifespark Medical Group Pa and her current practice location is 3366 Oakdale Ave N, Suite 605, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-2940.

Holley Gullickson is licensed to practice in Minnesota (license number R1551082) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023025517.

Contact Information

Holley Gullickson,
3366 Oakdale Ave N, Suite 605,
Robbinsdale, MN 55422-2948
(763) 520-2940
Not Available

Map and Direction




Provider's Profile

Full NameHolley Gullickson
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location3366 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holley Gullickson graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1023025517
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0345255535
  • Enrollment ID: I20060208000845

Medical Identifiers

Medical identifiers for Holley Gullickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023025517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R1551082 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifespark Home HealthSaint louis park, MNHome health agency
Fairview Hospital UniversityMinneapolis, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Curana Health Of Minnesota Pllc630523346162
Lifespark Medical Group Pa438590820119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holley Gullickson allows following entities to bill medicare on her behalf.
Entity NameRespiratory Consultants PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356439277
PECOS PAC ID: 6204736853
Enrollment ID: O20040112000044
Entity NameLifespark Medical Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427551746
PECOS PAC ID: 4385908201
Enrollment ID: O20180501001022
Entity NameCurana Health of Minnesota PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083365084
PECOS PAC ID: 6305233461
Enrollment ID: O20220420002125
Entity NameCH Specialty Services MN PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841999158
PECOS PAC ID: 7517331796
Enrollment ID: O20230330001063
Entity NameSpark Medical Providers PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760374680
PECOS PAC ID: 5193219186
Enrollment ID: O20251208002385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holley Gullickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holley Gullickson,
3366 Oakdale Ave N, Suite 605,
Robbinsdale, MN 55422-2948

Ph: Not Available		Holley Gullickson,
3366 Oakdale Ave N, Suite 605,
Robbinsdale, MN 55422-2948

Ph: (763) 520-2940

Reviews and Comments


Nurse Practitioner Nurses in Robbinsdale, MN

Michaela Anne Mclain, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5110    
Aiyana Alexandra Dorn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-5400    
Evan Sieve Johnson, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    
Mary Shields, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422
Phone: 763-587-7737    Fax: 763-587-7069
Allysa Jacobson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-5372    
Ms. Bonnie Bryde Malmberg, MSN, CNNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5580    
Kathryn B Hoversten, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3366 Oakdale Ave N Ste 450, Robbinsdale, MN 55422
Phone: 763-257-4400    Fax: 763-520-1791

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.