MR. MARIO GARDNER APRN
NPI 1679117451
Nurse Practitioner in Destin, FL

Active since November 04, 2019PECOS Enrolled
137 CRYSTAL BEACH DR STE 121, DESTIN, FL 32541(850) 807-4388(850) 862-0605 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Mar 26, 2020, Nov 4, 2019 (3 updates tracked since 2019).

About Mr. Mario Gardner Aprn NPPES

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

MR. MARIO GARDNER APRN (NPI 1679117451) is an individual nurse practitioner in Destin, Florida, licensed in Florida (APRN11006004) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and maintains a secondary practice location in Fort Walton Beach.

NPPES Registry Identity

NPI1679117451
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MARIO GARDNERCredential: APRN
Location Address137 CRYSTAL BEACH DR STE 121Destin, FL 32541-3573
Mailing Address917 Mar Walt DrFort Walton Beach, FL 32547-6651 · (508) 623-9798 · Fax (850) 862-0605
Fax(850) 862-0605
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2019
Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1679117451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11006004
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9265919 (FL)
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License APRN11006004 (FL)
137 CRYSTAL BEACH DR STE 121, Destin, FL 32541

Secondary Practice Location 1

Location 1917 Mar Walt DrFort Walton Beach, FL 32547-6651 · Phone (850) 862-3979 · Fax (850) 862-0605

Other Identifiers 1

Medicaid105938800FL

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 (PECOS)

Mr. Mario Gardner Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688003510
PECOS Enrollment IDI20200329000151, I20210921001966
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 13

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.

Injection, oritavancin (kimyrsa), 10 mg J2406
Oritavancin (Kimyrsa) is an antibiotic injection used to treat certain types of bacterial infections. Administered in a healthcare setting, it works by stopping the growth of bacteria. The dosage is based on your medical condition and response to treatment.
3,781 services24 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
1,011 services159 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.
707 services143 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
484 services26 patients
Injection, ertapenem sodium, 500 mg J1335
Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.
218 services28 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
215 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100124
Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32541 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims207 services$20.31 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims174 services$8.76 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
4 suppliers17 claims1,968 services$0.38 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
5 suppliers16 claims177 services$21.29 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
5 suppliers15 claims111 services$6.82 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
5 suppliers19 claims19 services$785.28 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 2

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

Internal Medicine (Rheumatology)
137 CRYSTAL BEACH DR STE 121
DESTIN, FL 32541
Durable Medical Equipment & Medical Supplies
137 CRYSTAL BEACH DR STE 121
DESTIN, FL 32541

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 Mario Gardner's NPI number?

The NPI number for Mario Gardner is 1679117451. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Mario Gardner located?

Mario Gardner practices at 137 Crystal Beach Dr Ste 121, Destin, FL 32541. The listed phone number is (850) 807-4388.

What is Mario Gardner's specialty?

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

Is Mario Gardner enrolled in Medicare?

Yes. Mario Gardner is registered in the Medicare PECOS enrollment system.

What insurance does Mario Gardner accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Mario 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 Mario Gardner affiliated with any hospitals?

According to CMS data, Mario Gardner is affiliated with Baptist Hospital and Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Mario Gardner was last updated on February 15, 2024. 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.