ORAWAN GARDNER
NPI 1710469333
Nurse Practitioner - Psychiatric/Mental Health in Derby, CT

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
130 DIVISION ST, DERBY, CT 06418(203) 735-7421 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2022, Mar 12, 2021, Aug 30, 2018 (3 updates tracked since 2018).

About Orawan Gardner NPPES

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

ORAWAN GARDNER (NPI 1710469333) is an individual psychiatric/mental health provider in Derby, Connecticut, licensed in Connecticut (7801) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glastonbury, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710469333
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameORAWAN GARDNER
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address33 Dixwell Ave # 191New Haven, CT 06511-3403 · (203) 303-9262
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 30, 2018
Last NPPES UpdateAugust 9, 20223 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1710469333 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 CT · 7801
130 DIVISION ST, Derby, CT 06418

Secondary Practice Location 1

Location 12389 Main St, Ste 100Glastonbury, CT 06033 · Phone (203) 303-9262

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 and accepts Medicare assignment

Orawan Gardner 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 ID345589222
PECOS Enrollment IDI20190312001379
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Radiology (Diagnostic Radiology)
130 DIVISION ST
DERBY, CT 06418
Internal Medicine
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Physician Assistant (Surgical)
130 DIVISION ST
DERBY, CT 06418
Anesthesiology
130 DIVISION ST
DERBY, CT 06418
Anesthesiology
130 DIVISION ST
DERBY, CT 06418
Physician Assistant
130 DIVISION ST
DERBY, CT 06418
Pain Medicine (Interventional Pain Medicine)
130 DIVISION ST, 1ST FLOOR
DERBY, CT 06418

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 Orawan Gardner's NPI number?

The NPI number for Orawan Gardner is 1710469333. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Orawan Gardner located?

Orawan Gardner practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 735-7421.

What is Orawan Gardner's specialty?

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

Is Orawan Gardner enrolled in Medicare?

Yes. Orawan 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.

What insurance does Orawan Gardner accept?

Health plans from Providence Health Plan list Orawan 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 Orawan Gardner was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.