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ALEX M GARDNER APRN
NPI 1669846812
Nurse Practitioner in Flower Mound, TX

Active since November 25, 2015PECOS EnrolledAccepts Medicare Assignment
75.04/100
CMS Quality Rating
5000 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028(972) 420-1776(972) 221-8685 Get Directions Write a Review

NPPES record last updated: December 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2023, May 25, 2018, Nov 25, 2015 (3 updates tracked since 2015).

About Alex M Gardner Aprn NPPES

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

ALEX M GARDNER APRN (NPI 1669846812) is an individual nurse practitioner in Flower Mound, Texas, licensed in Texas (1076140) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Medical City Lewisville, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1669846812
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEX M GARDNERCredential: APRN
Location Address5000 LONG PRAIRIE RD STE 100Flower Mound, TX 75028-2797
Mailing Address5000 Long Prairie Rd Ste 100Flower Mound, TX 75028-2797 · (972) 420-1776 · Fax (972) 221-8685
Phone(972) 420-1776
Fax(972) 221-8685
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 25, 2015
Last NPPES UpdateDecember 17, 20233 updates tracked since enumeration
NPPES CertifiedDecember 17, 2023
✔ NPI 1669846812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · 1076140✔ Licensed in SC · 20122✔ Licensed in GA · RN276968
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5000 LONG PRAIRIE RD STE 100, Flower Mound, TX 75028
Open in Google Maps ↗

Secondary Practice Locations 6

Location 14425 Paulsen StSavannah, GA 31405 · Phone (912) 355-6615 · Fax (912) 351-0645
Location 21000 Towne Center Blvd Ste 602Pooler, GA 31322-4071 · Phone (912) 355-6615 · Fax (912) 351-0645
Location 31326 Eisenhower Dr Bldg 1Savannah, GA 31406-3928 · Phone (912) 355-6615 · Fax (912) 351-0645
Location 4613 Towne Park Dr W Ste 303-304Rincon, GA 31326-5182 · Phone (912) 355-6615 · Fax (912) 351-0645
Location 51203 Gandy DancerRichmond Hill, GA 31324-8895 · Phone (912) 355-6615 · Fax (912) 351-0645
Location 611702 Mercy Blvd Ste 2DSavannah, GA 31419-1777 · Phone (912) 355-6615 · Fax (912) 351-0645

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Alex M 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.

PECOS PAC ID8022304997
PECOS Enrollment IDI20220530000197
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 Reassignments

3

Medicare enrollment records show Alex Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopedic Associates Of Flower Mound PLLC
Same address
Orthopaedic Surgery
5000 LONG PRAIRIE RD STE 100
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
NPI 1013689769 (972) 420-1776
Healthtexas Provider Network
1.7 mi
Family Medicine
1110 PARKER SQ
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1427054402 (972) 724-1707
Effingham Orthopedic Practice, LLC
925 mi
Orthopaedic Surgery
613 TOWNE PARK DR W, SUITE 303-304
Rincon, GA 31326
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1013459551 (912) 826-3111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services57 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
52 services42 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
48 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services47 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.44
Promoting Interoperability100
Improvement Activities40
Cost21.36

Other Providers at the Same Location NPPES 7

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

ORTHOPEDIC ASSOCIATES OF FLOWER MOUND PLLC
Orthopaedic Surgery
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
HEALTHTEXAS PROVIDER NETWORK
Durable Medical Equipment & Medical Supplies
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
JOHN C MCELROY M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
JONATHAN D BOYLE M.D.
Orthopaedic Surgery (Hand Surgery)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
TAFFY BOGGAN RNFA
Nurse Practitioner
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
JACQUELINE EMILY EVERNHAM PA-C
Physician Assistant (Surgical)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776
DR. DAVID CHARLES NEAL M.D.
Orthopaedic Surgery
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Denton County (972) 420-1776

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 Alex Gardner's NPI number?

The NPI number for Alex Gardner is 1669846812. It was assigned to this individual provider in the NPPES registry on November 25, 2015.

Where is Alex Gardner located?

Alex Gardner practices at 5000 Long Prairie Rd Ste 100, Flower Mound, TX 75028. The listed phone number is (972) 420-1776.

What is Alex Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alex Gardner enrolled in Medicare?

Yes. Alex 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 organizations bill Medicare for Alex Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Gardner reassigns Medicare benefits to 3 organizations: Orthopedic Associates Of Flower Mound PLLC (Flower Mound, TX), Healthtexas Provider Network (Flower Mound, TX) and Effingham Orthopedic Practice, LLC (Rincon, GA). Each 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 Alex Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Gardner accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Alex 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 Alex Gardner affiliated with any hospitals?

According to CMS data, Alex Gardner is affiliated with Medical City Lewisville, Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Alex Gardner was last updated on December 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.