Kendra S Gardner, NP

Individual provider Active NPI Family Nurse Practitioner · Moss Point, MS

NPI 1134628985 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1134628985
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
902266 (MS)
Practice address
4730 Morris St
Moss Point, MS 39563-2838
Phone
(228) 285-0361
Fax
(228) 285-0356
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4730 Morris St
Moss Point, MS 39563-2838
Phone (228) 285-0361

Hospital & facility affiliations

  • Singing River Health System Hospital · Pascagoula, MS · CCN 250040

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180509002336 MS Practitioner - Nurse Practitioner 4284998782 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902266MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC Nurse Practitioner Current
since Feb 3, 2022
Accepting new patients
Professional Rehabilitation Hospital LLC Past Accepting new patients

Locations

4730 Morris St
Moss Point, MS 39563
Phone (228) 285-0361

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902266 MS
Family Nurse Practitioner 363LF0000X 902266 MS Yes

Addresses

Primary practice location

4730 Morris St
Moss Point, MS 39563-2838

Mailing address

4730 Morris St
Moss Point, MS 39563-2838
Phone (228) 285-0361

Other names

  • Kendra Burress Miller Former name

Other providers in Moss Point, MS

All providers in Moss Point, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.