KRISTEN MARIE GARDNER PA-C
NPI 1871075887
Physician Assistant - Medical in Chandler, AZ

Q: What is Kristen Gardner's NPI number?

The NPI number for Kristen Gardner is 1871075887. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Q: What is Kristen Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Gardner was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 06, 2018PECOS EnrolledAccepts Medicare Assignment

2055 W FRYE RD STE 9, CHANDLER, AZ 85224(480) 821-3616 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Sep 6, 2018 (2 updates tracked since 2018).

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About Kristen Marie Gardner Pa-c NPPES

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

KRISTEN MARIE GARDNER PA-C (NPI 1871075887) is an individual medical provider in Chandler, Arizona, licensed in Arizona (7200) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871075887

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTEN MARIE GARDNERCredential: PA-C

Location Address2055 W FRYE RD STE 9Chandler, AZ 85224-6277

Mailing AddressPo Box 6730Chandler, AZ 85246-6730 · (480) 821-3600 · Fax (480) 857-2667

Phone(480) 821-3616

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 6, 2018

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1871075887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 7200

Also ListedPhysician AssistantTaxonomy 363A00000X · License 7200 (AZ)

2055 W FRYE RD STE 9, Chandler, AZ 85224

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Other Identifiers 1

Medicaid443877AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Marie Gardner Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375881832

PECOS Enrollment IDI20190208001921

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 18

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

EMILY MONTAGUE PA

Physician Assistant (Medical)