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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lukas Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity Medical Consultants PLLC
5.4 mi
Internal Medicine
1521 N CLIFF DRIVE
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1194360784 (928) 440-2350

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 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.

AURORA CENTRE, INC
Physical Medicine & Rehabilitation
1851 N GEMINI DR
FLAGSTAFF, AZ 86001
Coconino County (928) 266-0118
REHABILITATION HOSPITAL OF NORTHERN ARIZONA LLC
Rehabilitation Hospital
1851 N GEMINI DR
FLAGSTAFF, AZ 86001
Coconino County (928) 774-7070
INTERNAL MEDICINE SPECIALTY SERVICES LLC
Internal Medicine
1851 N GEMINI DR
FLAGSTAFF, AZ 86001
Coconino County (928) 266-0118
SARA GRACE OPPLIGER CCC-SLP
Speech-Language Pathologist
1851 N GEMINI DR
FLAGSTAFF, AZ 86001
Coconino County (928) 774-7070
HOLT MEDICAL PLLC
Physical Medicine & Rehabilitation
1851 N GEMINI DR
FLAGSTAFF, AZ 86001
Coconino County (928) 774-7070

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 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.

Where is Lukas Gardner located?

Lukas Gardner practices at 1851 N Gemini Dr, Flagstaff, AZ 86001. The listed phone number is (928) 547-2718.

What is Lukas Gardner's specialty?

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

Is Lukas Gardner enrolled in Medicare?

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

Which organization bills Medicare for Lukas Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lukas Gardner reassigns Medicare benefits to Trinity Medical Consultants PLLC (Flagstaff, AZ). The 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 Lukas 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 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 9 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.