MS. KATHI SUE GARDNER FNP-C
NPI 1689017972
Registered Nurse - General Practice in Stockton, CA
About Ms. Kathi Sue Gardner Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHI SUE GARDNER FNP-C (NPI 1689017972) is an individual general practice provider in Stockton, California, licensed in California (21599) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kathi Sue Gardner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathi Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95219
- Reassigned Medicare billing, California enrollment
- 221 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.
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 Kathi Gardner's NPI number?
The NPI number for Kathi Gardner is 1689017972. It was assigned to this individual provider in the NPPES registry on April 17, 2013.
Where is Kathi Gardner located?
Kathi Gardner practices at 2333W March Ln A1, Stockton, CA 95207. The listed phone number is (209) 475-8144.
What is Kathi Gardner's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.
Is Kathi Gardner enrolled in Medicare?
Yes. Kathi Gardner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathi Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathi Gardner reassigns Medicare benefits to Lodi Memorial Hospital Association, Inc (Stockton, 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 Kathi Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathi Gardner was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Kathi Sue Gardner, FNP-C · NPI 1689017972
General Practice provider in Stockton, California. Individual provider, active in the CMS NPPES registry since April 17, 2013.
## Identity
- **NPI:** 1689017972 (Entity type: Individual)
- **Enumerated:** April 17, 2013
- **Primary specialty:** Registered Nurse - General Practice · taxonomy 163WG0000X
- **State license:** 21599 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2333W MARCH LN A1, Stockton, CA 95207-5263
- **Phone:** (209) 475-8144 · **Fax:** (209) 474-7679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lodi Memorial Hospital Association, Inc (NPI 1982860995, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1689017972) · Data from the CMS NPPES public registry.