Melodye Ann Gardner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05019 Issued in TX

Practice address

9670 Ranch Road 12
Wimberley, TX 78676-5238

Phone

(512) 847-6789

Fax

(512) 847-7968

NPI assigned

Nov 14, 2006

Last updated

Feb 3, 2017By the provider in NPPES

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

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivan Ramirez MD PAGroup PAC ID 3870544620, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home With Blue Bonnet Hospice Hospice, Wimberley, TX, CCN 671713
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: melodye.gardner.1@23567.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan Ramirez MD PA

  • Primary Care Clinic/Center
  • Wimberley, TX
  • NPI 1053464008
  Medicare reassignment Care Compare group

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

• Blue Bonnet Palliative Care, PLLC

  dba At Home with Blue Bonnet Hospice

  • Community Based Hospice Care Agency
  • Wimberley, TX
  • NPI 1770873895
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - New Braunfels

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - San Marcos

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1336211572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH LAUREL",
            "city": "LULING",
            "state": "TX",
            "postal_code": "78648",
            "telephone_number": "830-875-6399",
            "fax_number": "830-875-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765238",
            "telephone_number": "512-847-6789",
            "fax_number": "512-847-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MELODYE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA05019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Feagan, M.S., CCC-SLP
• Alexandra Ficula, PMHNP-BC
• Mackenzie Ruth Ford, LDCD
• Freeman Psychotherapy
• Hannah Kay Garcia, MS, RD, LD
• Ellen Gerland, RPH
• Glenda Nuckols, PC (Wimberley Dental Center)
• Go Psychotherapy & Counseling PLLC
• Alaria T Godwin, LMT, CLT
• Lorraine Lynn Gonzalez, PA-C

• Physician Assistant in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.

Verify at the official NPI Registry.