Active NPI
Jan L Gardner, ARNP
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 2735082
- Practice address
- 1350 S Hickory St
HRMC/Hospitalist Program
Melbourne, FL 32901-3224 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 2735082 | FL | Primary |
Addresses
Primary practice location
1350 S Hickory St
HRMC/Hospitalist Program
Melbourne, FL 32901-3224
Mailing address
PO Box 561600
Rockledge, FL 32956-1600
Phone (321) 434-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0694H | Other | FL | BLUE CROSS |
| 307595800 | Medicaid | FL |
Other names 1
- Jan Laughton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3187
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2735082 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Florida, LLC | Current | Accepting new patients | |
| Rockledge Physician Services, LLC | Current | Accepting new patients | |
| Renaissance Medical Foundation | Family | Current | Accepting new patients |
Locations
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1457646903
-
- Hospitalist Physician
- Rockledge, FL
- NPI 1538523295
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1124065347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561600",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329561600",
"telephone_number": "321-434-4600",
"fax_number": "321-259-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S HICKORY ST",
"address_2": "HRMC/HOSPITALIST PROGRAM",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-1771",
"fax_number": "321-434-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JAN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 2735082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y0694H",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307595800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "LAUGHTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.