TIFFANY HICKS GARDNER APRN
NPI 1457823056
Nurse Practitioner - Family in Carbondale, IL
About Tiffany Hicks Gardner Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY HICKS GARDNER APRN (NPI 1457823056) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209017781) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Tiffany Hicks Gardner Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARBONDALE, IL 62901
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 Tiffany Gardner's NPI number?
The NPI number for Tiffany Gardner is 1457823056. It was assigned to this individual provider in the NPPES registry on December 19, 2018.
Where is Tiffany Gardner located?
Tiffany Gardner practices at 1155 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 490-1045.
What is Tiffany Gardner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tiffany Gardner enrolled in Medicare?
Yes. Tiffany 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 Tiffany Gardner accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tiffany 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 Tiffany Gardner was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tiffany Hicks Gardner, APRN · NPI 1457823056
Family physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since December 19, 2018.
## Identity
- **NPI:** 1457823056 (Entity type: Individual)
- **Enumerated:** December 19, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209017781 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 CEDAR CT, Carbondale, IL 62901-5333
- **Phone:** (618) 490-1045
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457823056) · Data from the CMS NPPES public registry.