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

Nicole M. Gullickson, MD

Individual provider Family Medicine Physician · NPI 1174783211

Nicole M. Gullickson, MD is a Family Practice in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2019, 7 years ago. Practices with West River Health Services, a 19-clinician group and accepts Medicare assignment. Licensed in Iowa and North Dakota.

Years since qualifying
7
Trained at
University of North Dakota School of Medicine
Licensed in
IA, ND
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 32nd Ave S
Fargo, ND 58103-5800
Phone: (701) 234-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11974 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-8325 (IA)

Record details

NPI number1174783211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESJanuary 19, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice West River Health Services — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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