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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUTUMN GARDNER PMHNP
NPI 1407674120
Nurse Practitioner - Psychiatric/Mental Health in Harrisburg, PA

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
600 N 2ND ST STE 401, HARRISBURG, PA 17101(860) 788-6404 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Oct 1, 2024 (2 updates tracked since 2024).

About Autumn Gardner Pmhnp NPPES

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

AUTUMN GARDNER PMHNP (NPI 1407674120) is an individual psychiatric/mental health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP030791) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407674120
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUTUMN GARDNERCredential: PMHNP
Location Address600 N 2ND ST STE 401Harrisburg, PA 17101-1071
Mailing AddressPo Box 1595Middletown, CT 06457-8095
Phone(860) 788-6404
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2024
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1407674120 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 PA · SP030791
600 N 2ND ST STE 401, Harrisburg, PA 17101
Open in Google Maps ↗

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

Autumn Gardner Pmhnp 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 ID9931638798
PECOS Enrollment IDI20251002001993
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 Autumn Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meditelecare Of Pennsylvania LLC
Same address
Clinical
600 N 2ND ST STE 401
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
NPI 1396351847 (860) 788-6404
Family Care Associates
79 mi
Primary Care
702 RUSSELL AVE STE 100
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group
NPI 1003151291 (301) 330-0006
Supportive Care Of Pennsylvania LLC
159 mi
Clinical
20 ROBERT PITT DR, UNIT 209
Monsey, NY 10952
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 160 clinicians in this Medicare group
NPI 1174992275 (845) 826-0060

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 17101 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

THE LACTATION NETWORK, LLC
Lactation Consultant, Non-RN
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (888) 510-0059
TRACEY MARIE SHIVOK-JEFFERSON NP-C
Nurse Practitioner (Family)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (860) 788-6404
TIFFANI TATKO DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (412) 850-5255
JACOB LEE COTTAGE
Nurse Practitioner (Psychiatric/Mental Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (860) 788-6404
MRS. EILEEN J SMITH LICENSED CLINICAL SO
Social Worker (Clinical)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (860) 788-6404
MR. ROBERT WILLIAM SHAMBAUGH PSY. D
Psychologist (Clinical)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (877) 742-6992
FODAY JANNEH
Nurse Practitioner (Psychiatric/Mental Health)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (860) 788-6404
JAMIE LEE NEAL CRNP, FNP-C
Nurse Practitioner (Family)
600 N 2ND ST STE 401
HARRISBURG, PA 17101
Dauphin County (860) 788-6404

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 Autumn Gardner's NPI number?

The NPI number for Autumn Gardner is 1407674120. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Autumn Gardner located?

Autumn Gardner practices at 600 N 2nd St Ste 401, Harrisburg, PA 17101. The listed phone number is (860) 788-6404.

What is Autumn Gardner's specialty?

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

Is Autumn Gardner enrolled in Medicare?

Yes. Autumn 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 Autumn Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Gardner reassigns Medicare benefits to 3 organizations: Meditelecare Of Pennsylvania LLC (Harrisburg, PA), Family Care Associates (Gaithersburg, MD) and Supportive Care Of Pennsylvania LLC (Monsey, NY). 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 Autumn 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 Autumn Gardner was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.