MARY JUDITH GARDNER NP
NPI 1033791843
Nurse Practitioner - Gerontology in Grand Rapids, MI

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
655 KENMOOR AVE SE STE 101, GRAND RAPIDS, MI 49546(616) 900-9911(616) 900-9862 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2021, Apr 22, 2021 (2 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 Grand Rapids, Michigan, 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 (2021).

NPPES Registry Identity

NPI1033791843
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY JUDITH GARDNERCredential: NP
Location Address655 KENMOOR AVE SE STE 101Grand Rapids, MI 49546-8622
Mailing Address655 Kenmoor Ave Se Ste 101Grand Rapids, MI 49546-8622 · (616) 900-9911 · Fax (616) 900-9862
Fax(616) 900-9862
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
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
655 KENMOOR AVE SE STE 101, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Internal Medicine (Cardiovascular Disease)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546
Physician Assistant (Medical)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546

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 655 Kenmoor Ave SE Ste 101, Grand Rapids, MI 49546. The listed phone number is (616) 900-9911.

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.

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 3 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 December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.