Grant Gullickson, PA-C
NPI 1770279408ActiveIndividual· Physician Assistant· New Brighton, MN
Physician Assistant (PA-C) with Nystrom and Associates Ltd, practicing in New Brighton, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $314,287 for 2,393 claims, against $27,610 paid for services in 2024. Indivior Inc. was the largest of 3 companies reporting payments in 2025, $62.66 in all, mostly food and beverage.
Overview
| NPI | 1770279408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 14, 2023 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14410 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 404 across 7 procedure codes |
| Paid by Medicare | $27,610 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,393 · 3,394 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $314,287 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
Industry payments (Open Payments)
- 2025$62.66 · 3 payments from 3 companies
- 2024$79.67 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Indivior Inc. | $29.94 | 1 |
| Vanda Pharmaceuticals Inc. | $18.93 | 1 |
| Neurocrine Biosciences, Inc. | $13.79 | 1 |
What the 2025 payments were for
- Food and Beverage$62.66 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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