Mary Louise Gardner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139096 Issued in TX

Practice address

1001 W Eagle Dr
Decatur, TX 76234-3745

Phone

(940) 627-7440

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.gardner@4668404203524.direct.elationemr.com
• Direct secure messaging: mary.gardner.1@7537.direct.athenahealth.com

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.

• Premier Independent Physicians Group, Inc.

  • Family Medicine Physician
  • Denton, TX
  • NPI 1437676640
  Medicare reassignment NPD
• Leeroy McCurley MD PA

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1588795652
  NPD
• North Texas Arrhythmia Associates PA

  • Clinical Cardiac Electrophysiology Physician
  • Denton, TX
  • NPI 1437480829
  NPD (past)
• Pilot Point Family Practice Management Inc.

  • Family Medicine Physician
  • Pilot Point, TX
  • NPI 1447617741
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1316412919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PAYTON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311212",
            "telephone_number": "682-365-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W EAGLE DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343745",
            "telephone_number": "940-627-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Henry Fries, O.D.
• Misty Ann Fry, MSN, APRN, FNP-C
• Mary Elizabeth Fuller, FNP-C
• Travis James Fulton, PTA
• Future Mobility Systems of Texas , Inc.
• Guy Gregory Garrett, M.D.
• Gregory Cecil Gibbons, LCSW
• Gilbert Berdine MD
• George Keith Gill, MD
• Lea Anne Gilley, FNP-C

• Family Nurse Practitioner in Decatur, TX
• Providers in Decatur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.