MS. CAROLYN JEAN GULLICK (PA-C) – Medical Physician Assistant, NPI 1073964342
Medical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MS. CAROLYN JEAN GULLICK (PA-C)
Saint Mary's Hospital, 700, South Park Street, Greenbush, Madison, Dane County, Wisconsin, 53715, United States
MADISON, WI 537151830
Phone: (608) 251-6100
Type: Mailing
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
600 HIGHLAND AVE
MADISON, WI 537921830
Phone: (608) 263-5442
Fax: (608) 265-1753
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160808001878 | I | Physician Assistant | WI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 53 | 50 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 43 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 40 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 23 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 53715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Physician Assistant | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI |
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