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LAKEYLA GARDNER NP
NPI 1396211645
Nurse Practitioner - Psychiatric/Mental Health in Berkeley, CA

Active since October 14, 2018PECOS EnrolledAccepts Medicare Assignment
837 ADDISON ST, BERKELEY, CA 94710(510) 981-4100 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2026, Oct 12, 2022, Aug 23, 2022 and 1 more (4 updates tracked since 2018).

About Lakeyla Gardner Np NPPES

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

LAKEYLA GARDNER NP (NPI 1396211645) is an individual psychiatric/mental health provider in Berkeley, California, licensed in California (95017057) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396211645
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAKEYLA GARDNERCredential: NP
Location Address837 ADDISON STBerkeley, CA 94710-2047
Mailing Address1311 Park St # 1082Alameda, CA 94501-4507 · (510) 901-1299 · Fax (925) 396-2738
Phone(510) 981-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2018
Last NPPES UpdateJuly 26, 20264 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1396211645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95017057
837 ADDISON ST, Berkeley, CA 94710
Open in Google Maps ↗

Secondary Practice Location 1

Location 16333 Telegraph AveOakland, CA 94609-1359 · Phone (510) 923-1099

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lakeyla Gardner 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 ID2264808609
PECOS Enrollment IDI20221026001259
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 Reassignments

3

Medicare enrollment records show Lakeyla Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifelong Medical Care
1.7 mi
Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689670002 (510) 428-4500
Alameda Health System
5.9 mi
Surgery
1411 E 31ST STREET
Oakland, CA 94602
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1740332931 (510) 437-4800
Grow Healthcare Group PC
43 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 94710 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

VANESSA MARIE MAYEN R.N., N.P.
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
ZENA E HERMAN FNP
Nurse Practitioner
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
NATHANIEL PETER HOUSTON
Physician Assistant
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
EMAN ALKAHELI
Marriage & Family Therapist
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
SONAM DOLKAR DNP-FNP
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
NERMEEN AMMARA REHIMTOOLA
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
SAMARA LAXINETA CNM, WHNP
Advanced Practice Midwife
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
JESSICA XCARLET SANCHEZ
Social Worker (Clinical)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100

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 Lakeyla Gardner's NPI number?

The NPI number for Lakeyla Gardner is 1396211645. It was assigned to this individual provider in the NPPES registry on October 14, 2018.

Where is Lakeyla Gardner located?

Lakeyla Gardner practices at 837 Addison St, Berkeley, CA 94710. The listed phone number is (510) 981-4100.

What is Lakeyla Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lakeyla Gardner enrolled in Medicare?

Yes. Lakeyla 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.

Which organizations bill Medicare for Lakeyla Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakeyla Gardner reassigns Medicare benefits to 3 organizations: Lifelong Medical Care (Berkeley, CA), Alameda Health System (Oakland, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Lakeyla 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 Lakeyla Gardner was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.