LUKAS GARDNER
NPI 1215745104
Nurse Practitioner - Acute Care in Flagstaff, AZ

Q: What is Lukas Gardner's NPI number?

The NPI number for Lukas Gardner is 1215745104. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Q: What is Lukas Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Lukas Gardner was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 23, 2024PECOS Enrolled

1851 N GEMINI DR, FLAGSTAFF, AZ 86001(928) 547-2718 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2026, Dec 23, 2024 (2 updates tracked since 2024).

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About Lukas Gardner NPPES

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

LUKAS GARDNER (NPI 1215745104) is an individual acute care provider in Flagstaff, Arizona, licensed in Arizona (247536) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215745104

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameLUKAS GARDNER

Location Address1851 N GEMINI DRFlagstaff, AZ 86001-1607

Mailing Address4343 E Soliere Ave Apt 2023Flagstaff, AZ 86004-7953 · (913) 433-6299

Phone(928) 547-2718

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 23, 2024

Last NPPES UpdateJanuary 18, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2026

✔ NPI 1215745104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AZ · 247536

1851 N GEMINI DR, Flagstaff, AZ 86001

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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)

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

PECOS PAC ID1951891381

PECOS Enrollment IDI20251120000003

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 86001 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 5

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

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