Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Grant Gullickson, PA-C

Physician Assistant in New Brighton, MN · enumerated 2023 · practices at Nystrom & Associates, Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770279408

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Registry record

Entity type Individual (Type 1)

Name Mr. Grant Gullickson

Credential PA-C

Sex Male

Practice address New Brighton, MN, 55112

Phone (651) 628-9566

Fax (651) 628-0411

Enumeration date Apr 14, 2023

Last updated in NPPES Apr 14, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 14410 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Grant Gullickson?

The National Provider Identifier (NPI) for Grant Gullickson is 1770279408, a Type 1 (individual) record in the CMS NPPES registry.

Where does Grant Gullickson practice?

The practice location on file with NPPES is in New Brighton, MN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-14.