Susan Marie Gardner, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

154843 Issued in MO

Practice address

1801 E Langsford Rd
Lees Summit, MO 64063-6323

Phone

(816) 524-2590

Fax

(816) 524-7079

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, KS, IA, OK, AR5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.gardner.1@22854.direct.athenahealth.com
• Direct secure messaging: sgardner@landmarkhealth-direct.org

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.

• Monogram Health Professional Services of Iowa PLLC

  • Nephrology Physician
  • Davenport, IA
  • NPI 1285344150

  Family

  Medicare reassignment NPD
• Monogram Health Professional Services of Texas PLLC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1396481255

  Family, OK

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Family, MO

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO, OK

  Medicare reassignment NPD
• NTTR Medical LLC

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1740641455
  Medicare reassignment
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, IA

  Medicare reassignment

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1841498441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413E PARTRIDGE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551421",
            "telephone_number": "816-522-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E LANGSFORD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640636323",
            "telephone_number": "816-524-2590",
            "fax_number": "816-524-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46050",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "154843",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "46050",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "154843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO NURSING LICENSE",
            "identifier": "154843",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nieves Azeneth Garcia
• Michael Andrew Gardiner, R.PH.
• April Scruggs Gardner, FNP, PMH-CNS
• Judy K. Gardner, MS, LPC, NCC
• Meredith Gardner, PLPC
• Gargano Dental Enterprise LLC
• Mariya Garner, RDH
• Barbara Garrett
• Jacinda N Garrett, FNP
• Jonah Walker Garrett, M.D.

• Primary Care Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.

Verify at the official NPI Registry.