Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Carolyn Jean Gullick, PA-C

Individual provider Medical Physician Assistant · NPI 1073964342

MS. Carolyn Jean Gullick, PA-C is a Physician Assistant in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2016, 10 years ago. Practices with Sauk Prairie Healthcare Inc, a 122-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
10
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-1830
Phone: (608) 263-5442
Fax: (608) 265-1753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3762-23 (WI)

Record details

NPI number1073964342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Sauk Prairie Healthcare Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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