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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

St Lukes Clinic-Treasure Valley LLC
2,016 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

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

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
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MELYSSA CARROLL MOONEY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
JENNIFER LYNN BRIDY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DR. THOMAS EDWARD BORSARI MD
Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MARY WASHINGTON HOSPITAL, INC.
Internal Medicine (Cardiovascular Disease)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1041
NARINDER NITIN SETHI MD, MS
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 361-1000
AMANDA LYNN RAE CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DAVID SCOTT M.D.
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1571

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 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.

Where is Michelle Gardner located?

Michelle Gardner practices at 1001 Sam Perry Blvd, Fredericksburg, VA 22401. The listed phone number is (540) 741-1100.

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.

Is Michelle Gardner enrolled in Medicare?

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

Which organization bills Medicare for Michelle Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Gardner reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). 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 Michelle Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.