MICHELLE T GARDNER M.D.
NPI 1831450469
Pediatrics - Pediatric Critical Care Medicine in Fredericksburg, VA

Q: What is Michelle Gardner's NPI number?

The NPI number for Michelle Gardner is 1831450469. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Michelle Gardner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Gardner was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 30, 2012PECOS Enrolled

1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401(540) 741-1100 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 12, 2017 (2 updates tracked since 2017).

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About Michelle T Gardner M.d. NPPES

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

MICHELLE T GARDNER M.D. (NPI 1831450469) is an individual pediatric critical care medicine provider in Fredericksburg, Virginia, licensed in Idaho (M-14177) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1831450469

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameMICHELLE T GARDNERCredential: M.D.

Location Address1001 SAM PERRY BLVDFredericksburg, VA 22401

Mailing AddressPo Box 37215Baltimore, MD 21297-3215 · (202) 476-5000

Phone(540) 741-1100

Sole ProprietorNo

Enumeration DateMay 30, 2012

Last NPPES UpdateJune 7, 20182 updates tracked since enumeration

✔ NPI 1831450469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in ID · M-14177

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 0101257904 (VA)

1001 SAM PERRY BLVD, Fredericksburg, VA 22401

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Secondary Practice Location 1

Location 11250 E Marshall St, PEDS: PEDIATRICSRichmond, VA 23298-5051 · Phone (804) 828-9955 · Fax (804) 828-5775

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle T Gardner M.d. 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.

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.

JUSTIN HAMWAY RACKLEY MD

Anesthesiology