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KRISTINA GARDNER APRN-FNP-C
NPI 1790167724
Nurse Practitioner - Family in Wilmington, NC

Active since June 25, 2015PECOS Enrolled
1606 WELLINGTON AVE STE A, WILMINGTON, NC 28401(910) 859-8586 Get Directions Write a Review

NPPES record last updated: October 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2023, Jan 20, 2021, Dec 10, 2020 and 1 more (4 updates tracked since 2020).

About Kristina Gardner Aprn-fnp-c NPPES

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

KRISTINA GARDNER APRN-FNP-C (NPI 1790167724) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5013755) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1790167724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA GARDNERCredential: APRN-FNP-C
Location Address1606 WELLINGTON AVE STE AWilmington, NC 28401-7704
Mailing Address4832 Big Gum RdWilmington, NC 28411-9110
Phone(910) 859-8586
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateOctober 14, 20234 updates tracked since enumeration
NPPES CertifiedOctober 14, 2023
✔ NPI 1790167724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5013755✔ Licensed in NE · 111826
1606 WELLINGTON AVE STE A, Wilmington, NC 28401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Gardner Aprn-fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517273642
PECOS Enrollment IDI20221123002341
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 Reassignments

2

Medicare enrollment records show Kristina Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Internal Medicine, PC
Same address
Medical
1606 WELLINGTON AVE STE A
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1396015939 (910) 297-1853
Black River Health Services Inc
24 mi
Federally Qualified Health Center (FQHC)
301 S CAMPBELL ST
Burgaw, NC 28425
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
NPI 1093703886 (910) 259-5721

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
54%24 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
51%37 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
45%20 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims46 services$6.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$184.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS INTERNAL MEDICINE, PC
Physician Assistant (Medical)
1606 WELLINGTON AVE STE A
WILMINGTON, NC 28401
New Hanover County (910) 297-1853
PORT CITY BEHAVIORAL HEALTH
Counselor (Mental Health)
1606 WELLINGTON AVE STE A
WILMINGTON, NC 28401
New Hanover County (910) 799-4505

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 Kristina Gardner's NPI number?

The NPI number for Kristina Gardner is 1790167724. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Kristina Gardner located?

Kristina Gardner practices at 1606 Wellington Ave Ste A, Wilmington, NC 28401. The listed phone number is (910) 859-8586.

What is Kristina Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristina Gardner enrolled in Medicare?

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

Which organizations bill Medicare for Kristina Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Gardner reassigns Medicare benefits to 2 organizations: Access Internal Medicine, PC (Wilmington, NC) and Black River Health Services Inc (Burgaw, NC). 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 Kristina Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Gardner accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Kristina 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.

Is Kristina Gardner affiliated with any hospitals?

According to CMS data, Kristina Gardner is affiliated with Novant Health New Hanover Regional Medical Center and Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristina Gardner was last updated on October 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.