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MARY JUDITH GARDNER NP
NPI 1033791843
Nurse Practitioner - Gerontology in Encinitas, CA

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
519 ENCINITAS BLVD STE 106, ENCINITAS, CA 92024(619) 703-7220(619) 703-7221 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Dec 6, 2021, Apr 22, 2021 (3 updates tracked since 2021).

About Mary Judith Gardner Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JUDITH GARDNER NP (NPI 1033791843) is an individual gerontology provider in Encinitas, California, licensed in Michigan (4704281984) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033791843
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY JUDITH GARDNERCredential: NP
Location Address519 ENCINITAS BLVD STE 106Encinitas, CA 92024-3738
Mailing Address3927 Waring Rd Ste COceanside, CA 92056-4458 · (619) 703-7220 · Fax (619) 703-7221
Phone(619) 703-7220
Fax(619) 703-7221
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2021
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1033791843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704281984
519 ENCINITAS BLVD STE 106, Encinitas, CA 92024
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Judith Gardner Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426451410
PECOS Enrollment IDI20210728003171
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pargol Samani MD Inc
9.8 mi
Cardiovascular Disease
3927 WARING RD STE C
Oceanside, CA 92056
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1144843962 (619) 703-7220
Ronald Vanderlaan, MD, PLLC
1,847 mi
Cardiovascular Disease
655 KENMOOR AVE SE STE 101
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1942482641 (616) 900-9911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
61 services61 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
33 services33 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services23 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
24 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers21 claims21 services$26.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASAP URGENT CARE, INC.
Emergency Medicine
519 ENCINITAS BLVD STE 106
ENCINITAS, CA 92024
San Diego County (760) 230-2727
ADAM JAMES OMAHEN PA-C
Physician Assistant
519 ENCINITAS BLVD STE 106
ENCINITAS, CA 92024
San Diego County (619) 772-7527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1033791843. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Mary Gardner located?

Mary Gardner practices at 519 Encinitas Blvd Ste 106, Encinitas, CA 92024. The listed phone number is (619) 703-7220.

What is Mary Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Gardner enrolled in Medicare?

Yes. Mary Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gardner reassigns Medicare benefits to 2 organizations: Pargol Samani MD Inc (Oceanside, CA) and Ronald Vanderlaan, MD, PLLC (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Gardner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mary Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Gardner affiliated with any hospitals?

According to CMS data, Mary Gardner is affiliated with Spectrum Health and Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.