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

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: October 25, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaquita Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Precision Internal Medicine Care PC
34 mi
Internal Medicine
3900 W BROADWAY ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
NPI 1932539491 (918) 682-8612
Muskogee Digestive Center Inc
35 mi
Gastroenterology
384 S 33RD ST, SUITE B
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
NPI 1811971153 (918) 682-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

KEVIN JOSEPH GANCARCZYK M.D.
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
DR. RUSTIN CHANC WALTERS M.D.
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
MONICA LEE PA-C
Physician Assistant
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
ANTHONY MORI BROOKS MD
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
JACK STEVE MILLER M.D.
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
SIMER KAUR GREWAL M.D.
Radiology (Vascular & Interventional Radiology)
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
TILLMAN HUDSON M.D.
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765
MR. CLARK R HIGGANBOTHAM
Urology
10901 E 48TH ST
TULSA, OK 74146
Tulsa County (918) 749-8765

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 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.

Where is Jaquita Gardner located?

Jaquita Gardner practices at 10901 E 48th St, Tulsa, OK 74146. The listed phone number is (918) 749-8765.

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.

Is Jaquita Gardner enrolled in Medicare?

Yes. Jaquita Gardner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaquita Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaquita Gardner reassigns Medicare benefits to 2 organizations: Precision Internal Medicine Care PC (Muskogee, OK) and Muskogee Digestive Center Inc (Muskogee, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaquita Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.