Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATHAN GARDNER PMHNP
NPI 1053083865
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Q: What is Nathan Gardner's NPI number?

The NPI number for Nathan Gardner is 1053083865. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Q: What is Nathan Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Gardner was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.

Active since September 30, 2021PECOS EnrolledAccepts Medicare Assignment

1407 W STASSNEY LN, AUSTIN, TX 78745(512) 440-4800 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nathan Gardner Pmhnp NPPES

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

NATHAN GARDNER PMHNP (NPI 1053083865) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (1055941) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053083865

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNATHAN GARDNERCredential: PMHNP

Location Address1407 W STASSNEY LNAustin, TX 78745-2947

Mailing Address501 S Red River StHenrietta, TX 76365-3709 · (940) 228-6510

Phone(512) 440-4800

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 30, 2021

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1053083865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1055941

1407 W STASSNEY LN, Austin, TX 78745

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nathan Gardner Pmhnp 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 ID8022409697

PECOS Enrollment IDI20211216000264

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

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.

43 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

Other Providers at the Same Location NPPES 12

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

SHIVA KUMAR LAM, MD, PA

Psychiatry & Neurology (Child & Adolescent Psychiatry)