MICHELLE GARDNER APNP
NPI 1548614928
Nurse Practitioner - Family in Hillsboro, WI

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
400 WATER AVE, HILLSBORO, WI 54634(608) 489-8000 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Gardner Apnp NPPES

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

MICHELLE GARDNER APNP (NPI 1548614928) is an individual family provider in Hillsboro, Wisconsin, licensed in Wisconsin (6933-33) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548614928
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE GARDNERCredential: APNP
Location Address400 WATER AVEHillsboro, WI 54634-9054
Mailing Address400 Water AveHillsboro, WI 54634-9054 · (608) 489-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 21, 2016
NPI 1548614928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 6933-33
400 WATER AVE, Hillsboro, WI 54634

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

Michelle Gardner Apnp 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 ID3779878004
PECOS Enrollment IDI20160825000054
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
49 services24 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
26 services25 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521304
Location400 Water AveHillsboro, WI 54634 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54634 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$106.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Massage Therapist
400 WATER AVE
HILLSBORO, WI 54634
Physical Therapist
400 WATER AVE
HILLSBORO, WI 54634
Dietitian, Registered
400 WATER AVE
HILLSBORO, WI 54634
Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Physician Assistant (Medical)
400 WATER AVE
HILLSBORO, WI 54634
Clinic/Center
400 WATER AVE
HILLSBORO, WI 54634

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 Michelle Gardner's NPI number?

The NPI number for Michelle Gardner is 1548614928. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Michelle Gardner located?

Michelle Gardner practices at 400 Water Ave, Hillsboro, WI 54634. The listed phone number is (608) 489-8000.

What is Michelle Gardner's specialty?

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

Is Michelle Gardner enrolled in Medicare?

Yes. Michelle 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 Michelle Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and Security Health Plan list Michelle 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.

Is Michelle Gardner affiliated with any hospitals?

According to CMS data, Michelle Gardner is affiliated with Gundersen Lutheran Medical Center and Gundersen St Josephs Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Michelle Gardner was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.