Individual provider Active NPI

Debra Lee Gardner, CNP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1811144835
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN-181132 Issued in OH
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000045 OH Practitioner - Nurse Practitioner 5294892600 Reassigns benefits to 3 organizations

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
Wedgewood Urgent Care, LTDGroup PAC ID 1557266129, 26 clinicians

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

LicenseStateTypeSpecialty
RN-181132OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Union County CurrentSince Mar 2, 2021 Accepting new patients
Memorial Hospital of Union County CurrentSince Mar 2, 2021 Accepting new patients
Mount Carmel Health System Current Accepting new patients
Wedgewood Urgent Care, LTD CurrentSince Sep 1, 2008 Accepting new patients
Pro-Active Wound Care Clinics LLC PastSince Sep 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.