NPIMap

Individual provider Active NPI

Abby Marie Gardner, M.D.

  • Internal Medicine Physician
  • Post Falls, ID
National Provider Identifier
1245573328
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-15108 Issued in ID
Practice address
1300 E Mullan Ave Ste 1800
Post Falls, ID 83854-6052
Phone
(208) 625-3700
NPI assigned
Mar 27, 2013
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q8063 TX
Internal Medicine Physician 207R00000X M-15108 ID Primary

Addresses

Primary practice location

1300 E Mullan Ave Ste 1800
Post Falls, ID 83854-6052

Mailing address

1300 E Mullan Ave Ste 1800
Post Falls, ID 83854-4855
Phone (208) 625-3700

Other practice location 1

1139 E Sonterra Blvd
Suite 405
San Antonio, TX 78229
Phone (210) 404-0000

Other identifiers 3

IdentifierTypeStateIssuer
P01802221OtherTXRAILROAD MEDICARE
362073401MedicaidTX
8FX748OtherTXBCBS

Other names 1

  • Ms. Abby Marie Kelly Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abby.gardner.p79@direct.kootenai.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630002594 ID Practitioner - Internal Medicine 7113212267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, LLC Current Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 1, 2020 Accepting new patients
San Antonio Internal Medicine Physicians, PLLC Internal Medicine PastSince Aug 29, 2016 Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 1800
Post Falls, ID 83854
Phone (208) 625-3700

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

Interoperability endpoints

  • Direct secure messaging: abby.gardner.p79@direct.kootenai.nextgenshare.com
  • Direct secure messaging: agardner609990@direct.multicare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1245573328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MULLAN AVE STE 1800",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544855",
            "telephone_number": "208-625-3700",
            "fax_number": "208-625-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MULLAN AVE STE 1800",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546052",
            "telephone_number": "208-625-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 E Sonterra Blvd",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8063",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-15108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01802221",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362073401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FX748",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abby.gardner.p79@direct.kootenai.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1300 E Mullan Ave Ste 1800",
            "city": "Post Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838546052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "KELLY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.