Active NPI
Juliana Germaine Gullickson
- Physician Assistant
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 512 S 28TH Ave
Wausau, WI 54401-4147 - Phone
- (715) 847-2021
- NPI assigned
- May 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WI | Primary |
Addresses
Primary practice location
512 S 28TH Ave
Wausau, WI 54401-4147
Mailing address
512 S 28TH Ave
Wausau, WI 54401-4147
Phone (715) 847-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 S 28TH Ave
Wausau, WI 54401-4147
Phone (715) 847-2021
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT & Allergy Associates, S.C. | Physician Assistant | Current | Accepting new patients |
Locations
501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
5509 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 847-2021
512 S 28th Ave
Wausau, WI 54401
Phone (715) 847-2021
2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122
Interoperability endpoints
- jgullickson439861@direct.aspirus.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Wausau, WI
- NPI 1255384301
Physician Assistant
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1699568436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S 28TH AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014147",
"telephone_number": "715-847-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S 28TH AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014147",
"telephone_number": "715-847-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLICKSON",
"first_name": "JULIANA",
"middle_name": "GERMAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-24",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.