MR. CHARLES JOSEPH GARDNER III CRNA
NPI 1720417090
Nurse Anesthetist, Certified Registered in Lansing, MI
About Mr. Charles Joseph Gardner Iii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES JOSEPH GARDNER III CRNA (NPI 1720417090) is an individual nurse anesthetist, certified registered in Lansing, Michigan, licensed in Michigan (4704272333) and active in the NPI registry since November 2013.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Charles Joseph Gardner Iii Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Charles Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Eaton Rapids, MI 48827
- Reassigned Medicare billing, Michigan enrollment
- 54 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.
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.
Reported Quality Measures
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.
LANSING, MI 48910
LANSING, MI 48910
LANSING, MI 48910
LANSING, MI 48910
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 Charles Gardner's NPI number?
The NPI number for Charles Gardner is 1720417090. It was assigned to this individual provider in the NPPES registry on November 6, 2013.
Where is Charles Gardner located?
Charles Gardner practices at 401 W Greenlawn Ave, Lansing, MI 48910. The listed phone number is (517) 975-6000.
What is Charles Gardner's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charles Gardner enrolled in Medicare?
Yes. Charles Gardner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charles Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Gardner reassigns Medicare benefits to 2 organizations: Capital Area Anesthesia PC (Okemos, MI) and Eaton Rapids Medical Center (Eaton Rapids, MI). 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 Charles Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Gardner accept?
Health plans from Priority Health list Charles 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 Charles Gardner was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Charles Joseph Gardner III, CRNA · NPI 1720417090
Nurse Anesthetist, Certified Registered physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since November 6, 2013.
## Identity
- **NPI:** 1720417090 (Entity type: Individual)
- **Enumerated:** November 6, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704272333 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 W GREENLAWN AVE, Lansing, MI 48910-2819
- **Phone:** (517) 975-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Capital Area Anesthesia PC (NPI 1538105010, Okemos, MI); Eaton Rapids Medical Center (NPI 1417044660, Eaton Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1720417090) · Data from the CMS NPPES public registry.