Active NPI
Debra Lee Gardner, CNP
- Family Nurse Practitioner
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN-181132
- Practice address
- 575 Copeland Mill Rd
Suite 1D
Westerville, OH 43081-8977 - Phone
- (614) 794-3663
- Fax
- (614) 794-3711
- NPI assigned
- Aug 20, 2008
- Last updated
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN-181132 | OH | Primary |
Addresses
Primary practice location
575 Copeland Mill Rd
Suite 1D
Westerville, OH 43081-8977
Mailing address
1057 Skinner Ave
Gahanna, OH 43230-3618
Phone (614) 475-6691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Colemans Xing
Suite B
Marysville, OH 43040-7115
Phone (937) 578-4310
444 N Cleveland Ave
Suite 130
Westerville, OH 43082-8388
Phone (614) 839-1118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-181132 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Union County | Current | Accepting new patients | |
| Memorial Hospital of Union County | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| Wedgewood Urgent Care, LTD | Current | Accepting new patients | |
| Pro-Active Wound Care Clinics LLC | Past | Accepting new patients | |
| Immediate Health Associates | Past | Accepting new patients | |
| Infinity NP of Columbus, LLC | Past | Accepting new patients |
Locations
4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600
120 Colemans Crossing Blvd
Ste B
Marysville, OH 43040
Phone (937) 578-4310
2112 Cherry Valley Rd
Newark, OH 43055
Phone (740) 522-3774
1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834
444 N Cleveland Ave
Ste 130
Westerville, OH 43082
Phone (614) 336-3838
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
575 Copeland Mill Rd
Ste 1D
Westerville, OH 43081
Phone (614) 794-0481
Interoperability endpoints
- dgardner896969@direct.osumc.edu
Organizations & group practices 7
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.
-
dba Memorial Urgent Care
- Urgent Care Clinic/Center
- Marysville, OH
- NPI 1093763757
-
- Family Medicine Physician
- Powell, OH
- NPI 1487601167
-
dba Mount Carmel Health System Physicians
- Internal Medicine Physician
- Columbus, OH
- NPI 1457617235
-
dba Dave's Pharmacy
- Community/Retail Pharmacy
- Marysville, OH
- NPI 1407474844
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1639123193
-
- Nurse Practitioner
- Westerville, OH
- NPI 1649223553
-
- Foot & Ankle Surgery Podiatrist
- Dublin, OH
- NPI 1467485813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1811144835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 SKINNER AVE",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303618",
"telephone_number": "614-475-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 COPELAND MILL RD",
"address_2": "SUITE 1D",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818977",
"telephone_number": "614-794-3663",
"fax_number": "614-794-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "DEBRA",
"middle_name": "LEE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "RN-181132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.