Individual provider Active NPI

Meryl Alice Gardner, FNP-C

  • Family Nurse Practitioner
  • Jasper, TX
National Provider Identifier
1578365839
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1193732 Issued in TX
Practice address
820 W Gibson St
Jasper, TX 75951-4914
Phone
(409) 336-2088
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 1193732 TX Primary

Addresses

Primary practice location

820 W Gibson St
Jasper, TX 75951-4914

Mailing address

820 W Gibson St
Jasper, TX 75951-4914
Phone (409) 336-2088

Other practice location 1

755 N 11th St Ste P4200
Beaumont, TX 77702-1521
Phone (409) 899-1499

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250519001842 TX Practitioner - Nurse Practitioner 0941728448

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Franklin, TN 37068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1193732TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Mar 30, 2025 Accepting new patients

Locations

820 W Gibson St
Jasper, TX 75951
Phone (409) 336-2088

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

Interoperability endpoints

  • Direct secure messaging: meryl.gardner.1@1902.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1578365839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514914",
            "telephone_number": "409-336-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514914",
            "telephone_number": "409-336-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 N 11th St Ste P4200",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021521",
            "country_code": "US",
            "telephone_number": "409-899-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MERYL",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1193732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.