Individual provider Active NPI

Mary E Gardner, ANP,FNP,CNM

  • Family Nurse Practitioner
  • Claremont, NH
National Provider Identifier
1952484933
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
067423 Issued in NH
Practice address
243 Elm St
Claremont, NH 03743-4921
Phone
(603) 542-7771
Fax
(603) 542-1153
NPI assigned
Oct 23, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13138 AK
Family Nurse Practitioner 363LF0000X 067423 NH Primary
Certified Registered Nurse Anesthetist 367500000X 197700 MT
Advanced Practice Midwife 367A00000X 13138 AK

Addresses

Primary practice location

243 Elm St
Claremont, NH 03743-4921

Mailing address

243 Elm St
Claremont, NH 03743-4921
Phone (907) 388-0876

Other practice location 1

202 Prospect Dr
Glendive, MT 59330-1999
Phone (406) 345-3306

Other names 1

  • Mary Elizabeth Hennessy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160728002220 TX Practitioner - Nurse Practitioner 4284611211 Reassigns benefits to 2 organizations
I20250626001172 MT Practitioner - Nurse Practitioner 4284611211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
31.99
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
193AKMDRegistered Dietitian
067423NHMDFamily Nurse Practitioner
197700MTMDCertified Registered Nurse Anesthetist
13138AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc CurrentSince May 21, 2025 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Oct 22, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 15, 2016 Accepting new patients
Glendive Medical Center, Inc CurrentSince May 21, 2025 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Eden Family Care and Medical Aesthetics Current Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jan 10, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 15, 2016 Accepting new patients
Tok Clinic, LLC Past Accepting new patients
White Spruce Medical Inc Past Accepting new patients
Queen City Regional Medical Clinic Past Accepting new patients
Raymond E. Andreassen Past Accepting new patients
Interior Women's Health, LLC Past Accepting new patients

Locations

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

Interoperability endpoints

  • Direct secure messaging: mgardner.107377@regionalhealth.sdhealthlink.net
  • Direct secure messaging: vrhmgardn@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1952484933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ELM ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434921",
            "telephone_number": "907-388-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ELM ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434921",
            "telephone_number": "603-542-7771",
            "fax_number": "603-542-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Glendive",
            "state": "MT",
            "postal_code": "593301999",
            "country_code": "US",
            "telephone_number": "406-345-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "ANP,FNP,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "13138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "067423",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "197700",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "13138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HENNESSY",
            "middle_name": "ELIZABETH",
            "credential": "ANP,FNP,CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.