1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DAVID GARDNER
NPI 1396524088
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since September 22, 2023PECOS EnrolledAccepts Medicare Assignment
716 STEVENS AVE, PORTLAND, ME 04103(508) 654-4321 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Gardner NPPES

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

DAVID GARDNER (NPI 1396524088) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2025).

NPPES Registry Identity

NPI1396524088
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID GARDNER
Location Address716 STEVENS AVEPortland, ME 04103-2656
Mailing Address716 Stevens AvePortland, ME 04103-2656
Phone(508) 654-4321
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2025
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1396524088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
716 STEVENS AVE, Portland, ME 04103
Open in Google Maps ↗

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

David Gardner 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 ID1456856913
PECOS Enrollment IDI20250925000970
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.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec 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.

PIPER NOELLA DESORCIE
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
KASSIDY ANN COLLINS
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529
DR. ALBERT GALLEMIT ABENA D.D.S.
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4687
ALIYAH ROSE MURPHY
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
JULIA CARTFORD
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
JESSICA KELLY
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
STEPHANIE MONIZ
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
CYNTHIA CRYSTAL TANG
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 602-2329

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 David Gardner's NPI number?

The NPI number for David Gardner is 1396524088. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is David Gardner located?

David Gardner practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (508) 654-4321.

What is David Gardner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Gardner enrolled in Medicare?

Yes. David 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 David Gardner affiliated with any hospitals?

According to CMS data, David Gardner is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for David Gardner was last updated on September 22, 2023. 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.