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KRISTIN MARIE GARDON NP
NPI 1366933608
Nurse Practitioner - Family in Green Bay, WI

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
835 S. VAN BUREN ST., GREEN BAY, WI 54301(920) 433-8586(920) 884-5306 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Oct 24, 2019, Jul 24, 2018 and 1 more (4 updates tracked since 2018).

About Kristin Marie Gardon Np NPPES

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

KRISTIN MARIE GARDON NP (NPI 1366933608) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (8502-33) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366933608
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTIN MARIE GARDONCredential: NP
Location Address835 S. VAN BUREN ST.Green Bay, WI 54301
Mailing Address835 S. Van Buren St.Green Bay, WI 54301 · (920) 433-8586 · Fax (920) 884-5306
Phone(920) 433-8586
Fax(920) 884-5306
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2018
Last NPPES UpdateDecember 16, 20214 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1366933608 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 WI · 8502-33
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 178648-30 (WI)
835 S. VAN BUREN ST., Green Bay, WI 54301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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

Kristin Marie Gardon Np 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 ID3779832902
PECOS Enrollment IDI20180822000865
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 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. NDIDIAMAKA CECILIA AGU M.D
Hospitalist
835 S. VAN BUREN ST.
GREEN BAY, WI 54301
Brown County (920) 496-4700

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 Kristin Gardon's NPI number?

The NPI number for Kristin Gardon is 1366933608. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Kristin Gardon located?

Kristin Gardon practices at 835 S. Van Buren St., Green Bay, WI 54301. The listed phone number is (920) 433-8586.

What is Kristin Gardon's specialty?

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

Is Kristin Gardon enrolled in Medicare?

Yes. Kristin Gardon 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 Kristin Gardon accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Kristin Gardon 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.

Is Kristin Gardon affiliated with any hospitals?

According to CMS data, Kristin Gardon is affiliated with St Vincent Hospital and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Gardon was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.