MR. DANIEL PHILLIP GARDNER FNP
NPI 1275913279
Nurse Practitioner - Family in Daphne, AL

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
69.52/100
CMS Quality Rating
8725 COUNTY ROAD 64, DAPHNE, AL 36526(251) 625-1370(251) 625-1380 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2018, Oct 24, 2018, Oct 15, 2018 and 2 more (5 updates tracked since 2018).

About Mr. Daniel Phillip Gardner Fnp NPPES

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

MR. DANIEL PHILLIP GARDNER FNP (NPI 1275913279) is an individual family provider in Daphne, Alabama, licensed in Alabama (1-122937) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275913279
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DANIEL PHILLIP GARDNERCredential: FNP
Location Address8725 COUNTY ROAD 64Daphne, AL 36526
Mailing AddressPo Box 7987Mobile, AL 36670-0987 · (251) 633-0573 · Fax (251) 633-7367
Fax(251) 625-1380
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateFebruary 23, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
NPI 1275913279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-122937
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1-122937 (AL)
8725 COUNTY ROAD 64, Daphne, AL 36526

Secondary Practice Locations 2

Location 15955 Airport BlvdMobile, AL 36608-3135 · Phone (251) 633-0573 · Fax (251) 633-7367
Location 2141 Tuscaloosa StMobile, AL 36607-3422 · Phone (251) 433-3344 · Fax (251) 433-4052

Other Identifiers 18

Other10138I3499AL · Medicare
Medicaid179179AL
Medicaid214334AL
OtherZ33078AL · Viva Health
Medicaid213045AL
Other4992223AL · Aetna
Other512-05548AL · Bcbs
Other5581031AL · Uhc
Other03323279MS · Ms Medicaid
Medicaid221246AL
Medicaid223477AL
Medicaid222164AL
Other511-67959AL · Bcbs
Other511-70269AL · Bcbs
Other511-70270AL · Bcbs
Other511-95547AL · Bcbs
Other512-05546AL · Bcbs
OtherP01572739AL · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Phillip Gardner Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658688197
PECOS Enrollment IDI20150916002425
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services83 patients
Test to measure largest amount of air breathed in an out 94200
This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.
62 services41 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
62 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
41 services29 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
33 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36526 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.6
Improvement Activities40
Cost50.1

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$94.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims34 services$34.12 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$17.91 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers18 claims18 services$15.05 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims104 services$2.28 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
7 suppliers52 claims52 services$30.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Allergy & Immunology
8725 COUNTY ROAD 64
DAPHNE, AL 36526
Allergy & Immunology
8725 COUNTY ROAD 64
DAPHNE, AL 36526
Allergy & Immunology
8725 COUNTY ROAD 64
DAPHNE, AL 36526

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 Daniel Gardner's NPI number?

The NPI number for Daniel Gardner is 1275913279. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Daniel Gardner located?

Daniel Gardner practices at 8725 County Road 64, Daphne, AL 36526. The listed phone number is (251) 625-1370.

What is Daniel Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Gardner enrolled in Medicare?

Yes. Daniel Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Gardner accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Daniel 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 Daniel Gardner was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.