MARY LOUISE GARDNER FNP
NPI 1316412919
Nurse Practitioner - Family in Decatur, TX

Q: What is Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1316412919. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Q: What is Mary Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 10, 2018PECOS Enrolled

1001 W EAGLE DR, DECATUR, TX 76234(940) 627-7440 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Louise Gardner Fnp NPPES

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

MARY LOUISE GARDNER FNP (NPI 1316412919) is an individual family provider in Decatur, Texas, licensed in Texas (AP139096) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316412919

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY LOUISE GARDNERCredential: FNP

Location Address1001 W EAGLE DRDecatur, TX 76234-3745

Mailing Address6513 Payton DrFort Worth, TX 76131-1212 · (682) 365-1835

Phone(940) 627-7440

Sole ProprietorNo

Enumeration DateOctober 10, 2018

✔ NPI 1316412919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP139096

1001 W EAGLE DR, Decatur, TX 76234

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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)

Mary Louise Gardner Fnp 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 76234 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

TRAVIS ANDREW KYLE PA

Physician Assistant