Individual provider Active NPI

Jennifer Gardner, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1457153496
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84209-091 Issued in KS
Practice address
1801 S Broadway St
Pittsburg, KS 66762-5838
Phone
(620) 235-4452
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-84209-091 KS Primary

Addresses

Primary practice location

1801 S Broadway St
Pittsburg, KS 66762-5838

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250410002161 KS Practitioner - Nurse Practitioner 9133643257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 S Broadway St
Pittsburg, KS 66762-5838
Phone (620) 235-4452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84209-091KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Apr 1, 2025 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients

Locations

601 E Washington St
Arma, KS 66712
Phone (620) 347-4033

100 N Military Ave
Baxter Springs, KS 66713

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989

1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798

101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101

124 S Highschool Ave
Columbus, KS 66725

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135

312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988

1216 Hawaii Rd
Humboldt, KS 66748
Phone (620) 473-1002

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

203 N Kentucky St
Iola, KS 66749

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

Interoperability endpoints

  • Direct secure messaging: jennifer.gardner@chcsek.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1457153496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625838",
            "telephone_number": "620-235-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84209-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.