CONSUELO ANN GARDNER
NPI 1639452667
Counselor in Raleigh, NC
About Consuelo Ann Gardner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSUELO ANN GARDNER (NPI 1639452667) is an individual counselor in Raleigh, North Carolina and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Consuelo Ann Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Consuelo Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 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.
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.
RALEIGH, NC 27610
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 Consuelo Gardner's NPI number?
The NPI number for Consuelo Gardner is 1639452667. It was assigned to this individual provider in the NPPES registry on September 26, 2011.
Where is Consuelo Gardner located?
Consuelo Gardner practices at 107 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (704) 939-1100.
What is Consuelo Gardner's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Consuelo Gardner enrolled in Medicare?
Yes. Consuelo Gardner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Consuelo Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Consuelo Gardner reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). 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 Consuelo Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Consuelo Gardner accept?
Health plans from UnitedHealthcare list Consuelo 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 Consuelo Gardner was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Consuelo Ann Gardner · NPI 1639452667
Counselor provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since September 26, 2011.
## Identity
- **NPI:** 1639452667 (Entity type: Individual)
- **Enumerated:** September 26, 2011
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 107 SUNNYBROOK RD, Raleigh, NC 27610-1827
- **Phone:** (704) 939-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639452667) · Data from the CMS NPPES public registry.