JAQUITA Y GARDNER APRN
NPI 1134635469
Clinical Nurse Specialist - Adult Health in Tulsa, OK

Q: What is Jaquita Gardner's NPI number?

The NPI number for Jaquita Gardner is 1134635469. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Q: What is Jaquita Gardner's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jaquita Gardner was last updated on December 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 December 22, 2017PECOS Enrolled

10901 E 48TH ST, TULSA, OK 74146(918) 749-8765(918) 392-2155 Get Directions Write a Review

NPPES record last updated: December 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaquita Y Gardner Aprn NPPES

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

JAQUITA Y GARDNER APRN (NPI 1134635469) is an individual adult health provider in Tulsa, Oklahoma, licensed in Oklahoma (R0080870) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134635469

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameJAQUITA Y GARDNERCredential: APRN

Location Address10901 E 48TH STTulsa, OK 74146-5830

Mailing Address10901 E 48th StTulsa, OK 74146-5830 · (918) 749-8765 · Fax (918) 392-2155

Phone(918) 749-8765

Fax(918) 392-2155

Sole ProprietorNo

Enumeration DateDecember 22, 2017

✔ NPI 1134635469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in OK · R0080870

10901 E 48TH ST, Tulsa, OK 74146

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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)

Jaquita Y Gardner Aprn 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 74146 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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