BRITTNEY GARDNER
NPI 1063105856
Nurse Practitioner - Family in Roseburg, OR

Q: What is Brittney Gardner's NPI number?

The NPI number for Brittney Gardner is 1063105856. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Brittney Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brittney Gardner was last updated on July 13, 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.

Active since May 30, 2023PECOS Enrolled

621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3500 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 13, 2026, May 30, 2023 (2 updates tracked since 2023).

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About Brittney Gardner NPPES

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

BRITTNEY GARDNER (NPI 1063105856) is an individual family provider in Roseburg, Oregon, licensed in Oregon (10062616) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063105856

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRITTNEY GARDNER

Location Address621 W MADRONE STRoseburg, OR 97470-3090

Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 440-3500 · Fax (541) 957-3003

Phone(541) 440-3500

Sole ProprietorNo

Enumeration DateMay 30, 2023

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1063105856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 10062616

Also ListedRegistered NurseTaxonomy 163W00000X · License 201391005RN (OR), 201391005 (OR)

621 W MADRONE ST, Roseburg, OR 97470

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brittney Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

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

WILLIAM F SHOBE JR. LMFT

Marriage & Family Therapist