MANDIE ROSE GARDNER ARNP
NPI 1205407376
Nurse Practitioner - Psychiatric/Mental Health in Tumwater, WA

Q: What is Mandie Gardner's NPI number?

The NPI number for Mandie Gardner is 1205407376. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is Mandie 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 Mandie Gardner was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 08, 2021PECOS Enrolled

7146 COUNTRY VILLAGE DR SW, TUMWATER, WA 98512(219) 384-7104 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mandie Rose Gardner Arnp NPPES

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

MANDIE ROSE GARDNER ARNP (NPI 1205407376) is an individual psychiatric/mental health provider in Tumwater, Washington, licensed in Washington (AP61185174) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205407376

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMANDIE ROSE GARDNERCredential: ARNP

Location Address7146 COUNTRY VILLAGE DR SWTumwater, WA 98512-7062

Mailing Address7146 Country Village Dr SwTumwater, WA 98512-7062 · (219) 384-7104

Phone(219) 384-7104

Sole ProprietorYes

Enumeration DateJuly 8, 2021

NPPES CertifiedJuly 8, 2021

✔ NPI 1205407376 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 WA · AP61185174

7146 COUNTRY VILLAGE DR SW, Tumwater, WA 98512

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandie Rose Gardner Arnp 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 98512 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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 Mandie Gardner's NPI number?

The NPI number for Mandie Gardner is 1205407376. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Mandie Gardner located?

Mandie Gardner practices at 7146 Country Village Dr SW, Tumwater, WA 98512. The listed phone number is (219) 384-7104.

What is Mandie Gardner's specialty?

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

Is Mandie Gardner enrolled in Medicare?

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

What insurance does Mandie Gardner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mandie Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandie Gardner was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.