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NAELAH GARDNER PMHNP
NPI 1730997784
Nurse Practitioner - Psychiatric/Mental Health in Gary, IN

Active since December 23, 2024PECOS Enrolled
1000 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Naelah Gardner Pmhnp NPPES

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

NAELAH GARDNER PMHNP (NPI 1730997784) is an individual psychiatric/mental health provider in Gary, Indiana, licensed in Indiana (PMH11240046) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730997784
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNAELAH GARDNERCredential: PMHNP
Location Address1000 W 6TH AVEGary, IN 46402
Mailing Address4112 Wabash AveHammond, IN 46327-1220 · (773) 387-5528
Phone(219) 885-4264
Sole ProprietorNo
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1730997784 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 IN · PMH11240046
1000 W 6TH AVE, Gary, IN 46402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naelah Gardner Pmhnp 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 Billing Reassignment

Medicare enrollment records show Naelah Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewater Systems For Balanced Living, Inc.
Same address
Mental Health (Including Community Mental Health Center)
1100 W 6TH AVE
Gary, IN 46402
  • Reassigned Medicare billing, Indiana enrollment
  • 31 clinicians in this Medicare group
NPI 1588705784 (219) 885-4264

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 46402 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Naelah Gardner's NPI number?

The NPI number for Naelah Gardner is 1730997784. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Naelah Gardner located?

Naelah Gardner practices at 1000 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Naelah Gardner's specialty?

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

Is Naelah Gardner enrolled in Medicare?

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

Which organization bills Medicare for Naelah Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naelah Gardner reassigns Medicare benefits to Edgewater Systems For Balanced Living, Inc. (Gary, IN). 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 Naelah Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naelah Gardner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Naelah 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 Naelah Gardner was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.