NYLA RAE GARDNER PMHNP
NPI 1639412703
Nurse Practitioner - Psychiatric/Mental Health in Portsmouth, NH

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
78.92/100
CMS Quality Rating
100 EILEEN DONDERO FOLEY AVE STE 302, PORTSMOUTH, NH 03801(603) 883-0005(603) 883-0007 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nyla Rae Gardner Pmhnp NPPES

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

NYLA RAE GARDNER PMHNP (NPI 1639412703) is an individual psychiatric/mental health provider in Portsmouth, New Hampshire, licensed in New Hampshire (036181-23) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Londonderry, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1639412703
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNYLA RAE GARDNERCredential: PMHNP
Location Address100 EILEEN DONDERO FOLEY AVE STE 302Portsmouth, NH 03801-4597
Mailing Address4800 N Scottsdale Rd Ste 2500, Suite B2Scottsdale, AZ 85251-7630 · (603) 883-0005 · Fax (603) 883-0007
Fax(603) 883-0007
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2013
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1639412703 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 NH · 036181-23
100 EILEEN DONDERO FOLEY AVE STE 302, Portsmouth, NH 03801

Other Names 1

Former Name (1)Nyla Rae Hickman

Secondary Practice Location 1

Location 180 Nashua Rd, Suite B2Londonderry, NH 03053-3426 · Phone (603) 818-8926 · Fax (603) 818-8928

Accepted Insurance

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

Nyla Rae 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 ID2860614583
PECOS Enrollment IDI20141113001557
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 Reassignment

Medicare enrollment records show Nyla Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1 MAIN ST
Nashua, NH 03064
  • Reassigned Medicare billing, New Hampshire enrollment
  • 216 clinicians in this Medicare group

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 03801 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost50.77

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%252 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%621 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 38% · 262 patients
Patients screened: 64% · 262 patients
40%113 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Psychologist (Clinical)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Psychologist (Clinical)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Social Worker (Clinical)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Social Worker (Clinical)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Counselor (Mental Health)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Marriage & Family Therapist
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Psychologist (Clinical)
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801
Psychologist
100 EILEEN DONDERO FOLEY AVE STE 302
PORTSMOUTH, NH 03801

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 Nyla Gardner's NPI number?

The NPI number for Nyla Gardner is 1639412703. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Nyla Rae Hickman.

Where is Nyla Gardner located?

Nyla Gardner practices at 100 Eileen Dondero Foley Ave Ste 302, Portsmouth, NH 03801. The listed phone number is (603) 883-0005.

What is Nyla Gardner's specialty?

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

Is Nyla Gardner enrolled in Medicare?

Yes. Nyla 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 organization bills Medicare for Nyla Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyla Gardner reassigns Medicare benefits to The Counseling Center Of Nashua Inc (Nashua, NH). The 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 Nyla Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nyla Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Nyla 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 Nyla Gardner was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.