DYESS GARDNER RN
NPI 1417565250
Nurse Practitioner - Family in Arlington, TX

Active since July 17, 2020PECOS EnrolledAccepts Medicare Assignment
1300 S BOWEN RD STE A, ARLINGTON, TX 76013(817) 704-1444 Get Directions Write a Review

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

Record update history: May 22, 2026, Nov 14, 2024, Jul 17, 2020 (3 updates tracked since 2020).

About Dyess Gardner Rn NPPES

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

DYESS GARDNER RN (NPI 1417565250) is an individual family provider in Arlington, Texas, licensed in Texas (1179518) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417565250
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDYESS GARDNERCredential: RN
Location Address1300 S BOWEN RD STE AArlington, TX 76013-6713
Mailing Address1300 S Bowen Rd Ste AArlington, TX 76013-6713
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2020
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1417565250 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 TX · 1179518
Also ListedRegistered NurseTaxonomy 163W00000X · License 991131 (TX)
1300 S BOWEN RD STE A, Arlington, TX 76013

Accepted 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

Dyess Gardner Rn 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 ID6002308343
PECOS Enrollment IDI20251124002452
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76013 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 2

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

Clinic/Center (Urgent Care)
1300 S BOWEN RD STE A
ARLINGTON, TX 76013
Nurse Practitioner (Family)
1300 S BOWEN RD STE A
ARLINGTON, TX 76013

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 Dyess Gardner's NPI number?

The NPI number for Dyess Gardner is 1417565250. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Dyess Gardner located?

Dyess Gardner practices at 1300 S Bowen Rd Ste A, Arlington, TX 76013. The listed phone number is (817) 704-1444.

What is Dyess Gardner's specialty?

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

Is Dyess Gardner enrolled in Medicare?

Yes. Dyess 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.

What insurance does Dyess Gardner accept?

Health plans from Blue Cross and Blue Shield of Texas list Dyess Gardner 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.

When was this NPI record last updated?

The NPPES record for Dyess Gardner was last updated on May 22, 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.