ORAWAN GARDNER
NPI 1710469333
Nurse Practitioner - Psychiatric/Mental Health in Derby, CT
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Orawan Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 77 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 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.
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.
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.
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.
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.
Which organizations bill Medicare for Orawan Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Orawan Gardner reassigns Medicare benefits to 3 organizations: The Griffin Hospital (Derby, CT), Yale University (Hamden, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Orawan Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Orawan Gardner accept?
Health plans from Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Orawan Gardner · NPI 1710469333
Psychiatric/Mental Health physician in Derby, Connecticut. Individual provider, active in the CMS NPPES registry since August 30, 2018.
## Identity
- **NPI:** 1710469333 (Entity type: Individual)
- **Enumerated:** August 30, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 7801 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 DIVISION ST, Derby, CT 06418-1326
- **Phone:** (203) 735-7421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Griffin Hospital (NPI 1184639973, Derby, CT); Yale University (NPI 1134391824, Hamden, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710469333) · Data from the CMS NPPES public registry.