Autumn Gardner, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP030791 Issued in PA

Practice address

235 Princess St
Hanover, PA 17331-2309

Phone

(443) 848-9901

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By 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

Medicare fee-for-service enrollment

Enrolled in DC, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Meditelecare of Pennsylvania LLCGroup PAC ID 8527488030, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: autumn.gardner.1@29745.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IJIAAA

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.

• Meditelecare of Pennsylvania LLC

  • Clinical Psychologist
  • Harrisburg, PA
  • NPI 1396351847
  Medicare reassignment Care Compare group NPD
• Supportive Care of Pennsylvania LLC

  • Clinical Psychologist
  • Monsey, NY
  • NPI 1174992275

  PA

  Medicare reassignment Care Compare group NPD
• Family Care Associates

  • Primary Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1003151291

  DC

  Medicare reassignment NPD
• Via Clinic, LLC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1952827073
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1407674120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PRINCESS ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312309",
            "telephone_number": "443-848-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PRINCESS ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312309",
            "telephone_number": "443-848-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "AUTUMN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Gall, PTA
• Hilary Shultz Gans, MS OTRL
• J. Andre Garabedian, D.O.
• Michael John Garcia, M.D.
• Ruth Gardner-Whelan, LCSW
• Meghan Elizabeth Gardner, DPT
• Dana Gargurevich, LCPC
• Elena Joy Garrett, CRNP
• Amanda Lynne Garvey, PA-C
• Gary L Gasowski, MD, PC

• Psychiatric/Mental Health Nurse Practitioner in Hanover, PA
• Providers in Hanover, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.