SHERRY P GARDINER FNP-BC
NPI 1023305513
Nurse Practitioner in Seaford, DE
NPI Status: Active since July 05, 2011
Contact Information
300 HIGH ST
SEAFORD, DE
ZIP 19973
Phone: (302) 855-1233
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About SHERRY GARDINER
This page provides the complete NPI Profile along with additional information for Sherry Gardiner, a provider established in Seaford, Delaware with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1023305513 assigned on July 2011. The practitioner's primary taxonomy code is 363L00000X with license number LG-0000570 (DE). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1023305513
- Provider Name
- SHERRY P GARDINER FNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 HIGH ST SEAFORD, DE 19973
- Location Phone
- (302) 855-1233
- Mailing Address
- 32219 ROBIN HOODS LOOP MILLSBORO, DE 19966
- Mailing Phone
- (302) 249-9000
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-05-2011
- Last Update Date
- 10-12-2021
- Code Navigator
A nurse practitioner (NP) like Sherry Gardiner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 21444 Carmean Way
Georgetown, DE 19947
(302) 855-2020
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- LG-0000570
- License State
- DE
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | LG-0000570 (DE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Premier Platinum 0 - PPO
- my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Silver 7000 - PPO
- my Blue Access PPO Standard Bronze 7500 - PPO
- my Blue Access PPO Standard Gold 1500 - PPO
- my Blue Access PPO Standard Platinum 0 - PPO
- my Blue Access PPO Standard Silver 5000 - PPO
- my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sherry Gardiner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19973 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SHERRY P GARDINER FNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 3 | 0 | 5 | 5 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 6 | 0 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 6 + 0 + 1 + 0 + 5 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1023305513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
LA RED HEALTH CENTER, INC.
Clinic/Center
(Federally Qualified Health Center (FQHC))
300 HIGH ST
SEAFORD, DE
ZIP 19973
DR. MARIBEL R WOODWARD M.D.
Pediatrics
300 HIGH ST
SEAFORD, DE
ZIP 19973
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023305513, enumerated as an "individual" on July 05, 2011.
The provider is located at 300 HIGH ST SEAFORD, DE 19973 and the phone number is (302) 855-1233.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next and Highmark Blue Cross. Please consult your insurance carrier or call the provider to verify.
