LATASHA GARDENER NURSE PRACTITIONER
NPI 1104349117
Nurse Practitioner - Family in Buffalo, NY

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
564 NIAGARA ST BLDG 2, BUFFALO, NY 14201(716) 882-0366 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Latasha Gardener Nurse Practitioner NPPES

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

LATASHA GARDENER NURSE PRACTITIONER (NPI 1104349117) is an individual family provider in Buffalo, New York, licensed in New York (341916) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104349117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATASHA GARDENERCredential: NURSE PRACTITIONER
Location Address564 NIAGARA ST BLDG 2Buffalo, NY 14201-1108
Mailing Address3871 Harlem RdBuffalo, NY 14215-1946 · (716) 681-4088
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 21, 2017
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedAugust 31, 2020
NPI 1104349117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 341916
564 NIAGARA ST BLDG 2, Buffalo, NY 14201

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

Latasha Gardener Nurse Practitioner 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 ID5597039677
PECOS Enrollment IDI20170928001525
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.

Hospital Affiliations CMS Care Compare

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

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14201 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%70 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
29%45 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Chiropractor
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Dietitian, Registered
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Social Worker
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Counselor (Mental Health)
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Nurse Practitioner (Family)
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Clinic/Center (Multi-Specialty)
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Physician Assistant
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201
Counselor
564 NIAGARA ST BLDG 2
BUFFALO, NY 14201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104349117, enumerated as an "individual" on July 21, 2017.

The provider is located at 564 NIAGARA ST BLDG 2 BUFFALO, NY 14201 and the phone number is (716) 882-0366.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Latasha Gardener is affiliated with: KENMORE MERCY HOSPITAL.