Active NPI
John Gullikson, CNP, RN, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Yankton, SD
National Provider Identifier
1790250041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CP001392
- Practice address
- 1028 Walnut St
Yankton, SD 57078-2910 - Phone
- (605) 665-4606
- NPI assigned
- Oct 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001392 | SD | Primary |
Addresses
Primary practice location
1028 Walnut St
Yankton, SD 57078-2910
Mailing address
1028 Walnut St
Yankton, SD 57078-2910
Phone (605) 665-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190222002349 | SD | Practitioner - Nurse Practitioner | 2769721547 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lewis and Clark Behavioral Health Services Inc
Practice addresses (Care Compare)
3111 Shirley Bridge Ave
Yankton, SD 57078-5949
Phone (605) 665-4606
Hospital & facility affiliations
- Avera Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis & Clark Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Lewis & Clark Mental Health Center | Past | Accepting new patients |
Locations
1028 Walnut St
Yankton, SD 57078
Phone (605) 665-4606
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Yankton, SD
- NPI 1215918339
SD
-
- Mental Health Counselor
- Yankton, SD
- NPI 1972862969
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Yankton, SD
- NPI 1740783463
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1790250041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 WALNUT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570782910",
"telephone_number": "605-665-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 WALNUT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570782910",
"telephone_number": "605-665-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLIKSON",
"first_name": "JOHN",
"credential": "CNP, RN, FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "CP001392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.