Ashley Gardner, NP
Individual provider Active NPI Nurse Practitioner · Saginaw, MI
NPI 1467902825 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1467902825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704275979 (MI)
- Practice address
- 501 Lapeer Ave
Saginaw, MI 48607-1203 - Phone
- (989) 759-6464
- Fax
- (989) 399-8233
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Lakes Bay Health Centers
Practice addresses (Care Compare)
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000
Hospital & facility affiliations
- Covenant Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161108000348 | MI | Practitioner - Nurse Practitioner | 7113206541 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704275979 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mpower Primary Care PLC | Current |
Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients |
Locations
4028 State St
Ste A
Saginaw, MI 48603
Phone (989) 341-6006
Interoperability endpoints
- ashley.gardner@direct.medfusion.com
- ashley.gardner.1@27771.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704275979 | MI | Yes |
Addresses
Primary practice location
501 Lapeer Ave
Saginaw, MI 48607-1203
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashley.gardner@direct.medfusion.com |
Other providers in Saginaw, MI
- Denisse Paola Garcia Daza
- Angelita Lee Garcia
- Letisha Garcia
- Stephanie Garcia
- Veronica Lynn Garcia
- Amritpal Kaur Garha
- Jacob Garibaldi
- Ian Michael Garlick
- Jacob A Garlick
- Shelly Kimberly Garlitz
All providers in Saginaw, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.