MS. VICKY L GULLEY (D.O.) – Family Medicine Physician, NPI 1750589024

MS. VICKY L GULLEY (D.O.) is a healthcare provider. based in Richland, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2007013967 (MO). The NPI Number for MS. VICKY L GULLEY (D.O.) is 1750589024

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. VICKY L GULLEY (D.O.)
NPI
1750589024
Phone
(877) 406-2662
Address
304 W Washington Ave
Enumeration Date
6 July 2007
Last Update Date
16 December 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5738367053
Graduation Year
2005 (21 years ago)
PAC ID
8022109347
Group Practice PAC ID
2062554025
Professional Enrollment ID
I20070801000159
Address ID
MO655567101RI304XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for MS. VICKY L GULLEY (D.O.)

  • 304 W Washington Ave

    Richland, MO 655567101

    Phone: (877) 406-2662

    Type: Location

  • PO BOX 680

    SALEM, MO 65560

    Phone: (573) 729-2050

    Fax: (573) 739-4759

    Type: Mailing

  • 101 PROGRESS PKWY

    SULLIVAN, MO 630802359

    Phone: (844) 853-8937

    Type: Location

  • 72, Järpstigen, Salem, Salems kommun, Stockholm County, 144 44, Sweden

    POB 1, SUITE 3

    SALEM, MO 65560

    Phone: (573) 729-2050

    Fax: (573) 774-2792

    Type: Location

  • 304 W WASHINGTON AVE

    RICHLAND, MO 655567101

    Phone: (877) 406-2662

    Type: Location

  • PO BOX 777

    RICHLAND, MO 655560777

    Phone: (877) 406-2662

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Organon LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

2

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070801000159IFamily PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65556)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062554025View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Clinical PsychologistMO
Family PracticeOR
Family PracticeMO
O B S T E T R I C S/ G Y N E C O L O G YAP
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to MS. VICKY L GULLEY (D.O.)?
The federal identifier for MS. VICKY L GULLEY (D.O.) is NPI 1750589024.
Is MS. VICKY L GULLEY (D.O.)'s NPI currently valid?
The extract we use shows MS. VICKY L GULLEY (D.O.) as active.
What field does MS. VICKY L GULLEY (D.O.) work in?
You can think of MS. VICKY L GULLEY (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. VICKY L GULLEY (D.O.)?
The page summarizes Richland, Missouri for MS. VICKY L GULLEY (D.O.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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