ANDREW GARDNER PA
NPI 1710915566
Physician Assistant - Surgical in Poughkeepsie, NY

Active since June 29, 2006PECOS Enrolled
86.64/100
CMS Quality Rating
45 READE PL, POUGHKEEPSIE, NY 12601(845) 483-6217(845) 483-6108 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Gardner Pa NPPES

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

ANDREW GARDNER PA (NPI 1710915566) is an individual surgical provider in Poughkeepsie, New York, licensed in New York (003948-1) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710915566
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW GARDNERCredential: PA
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address45 Reade PlPoughkeepsie, NY 12601-3947 · (845) 483-6217 · Fax (845) 483-6108
Fax(845) 483-6108
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710915566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 003948-1
45 READE PL, Poughkeepsie, NY 12601

Other Identifiers 3

Medicare ID-Type Unspecified0F8411NY
Medicare UPINR54775
Medicaid01551115NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Gardner Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601

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 Andrew Gardner's NPI number?

The NPI number for Andrew Gardner is 1710915566. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Andrew Gardner located?

Andrew Gardner practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 483-6217.

What is Andrew Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Gardner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Gardner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.