KAYCE N GARDNER PA-C
NPI 1346056686
Physician Assistant - Medical in Pocatello, ID

Active since December 10, 2024PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, SUITE 201, POCATELLO, ID 83201(208) 239-2620(208) 239-3778 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayce N Gardner Pa-c NPPES

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

KAYCE N GARDNER PA-C (NPI 1346056686) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (9171784) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346056686
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAYCE N GARDNERCredential: PA-C
Location Address777 HOSPITAL WAY, SUITE 201Pocatello, ID 83201-5175
Mailing AddressP.o. Box 4168Pocatello, ID 83205-4168 · (208) 239-1035 · Fax (208) 239-3626
Fax(208) 239-3778
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 10, 2024
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1346056686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · 9171784
777 HOSPITAL WAY, Pocatello, ID 83201

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

Kayce N Gardner Pa-c 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 ID9436648631
PECOS Enrollment IDI20251028004375
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

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.

Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201

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 Kayce Gardner's NPI number?

The NPI number for Kayce Gardner is 1346056686. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Kayce Gardner located?

Kayce Gardner practices at 777 Hospital Way Suite 201, Pocatello, ID 83201. The listed phone number is (208) 239-2620.

What is Kayce Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kayce Gardner enrolled in Medicare?

Yes. Kayce 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.

Is Kayce Gardner affiliated with any hospitals?

According to CMS data, Kayce Gardner is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Kayce Gardner was last updated on October 16, 2025. 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.