Brelan Mikal Gardner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905732 Issued in MS

Practice address

296 Eastside Dr
Newton, MS 39345-8036

Phone

(601) 228-8985

NPI assigned

Jan 3, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians

Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Ochsner Laird Hospital Hospital, Union, MS, CCN 251322
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340
• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 250043
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kemper Cah, Inc.

  dba Ochsner Stennis Hospital Professional Services

  • Emergency Medicine Physician
  • De Kalb, MS
  • NPI 1346546306
  Medicare reassignment Care Compare group NPD
• Laird Hospital, Inc.

  dba Ochsner Laird Hospital Professional Services

  • Emergency Medicine Physician
  • Union, MS
  • NPI 1821046798
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539
  Medicare reassignment NPD
• Rush Medical Foundation

  dba Professional Services Division

  • Anesthesiology Physician
  • Meridian, MS
  • NPI 1588625594
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Kemper Cah, Inc

  dba Ochsner Health Center-Hwy 39

  • Rural Health Clinic/Center
  • Meridian, MS
  • NPI 1275879314
  NPD
• Kemper, Cah, Inc.

  dba Ochsner Health Center-Marion

  • Rural Health Clinic/Center
  • Marion, MS
  • NPI 1669812962
  NPD
• Laird Hospital, Inc.

  dba Ochsner Childrens Health Center

  • Rural Health Clinic/Center
  • Meridian, MS
  • NPI 1114330347

  Family

  NPD
• Laird Hospital, Inc.

  dba Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  NPD
• Medical Foundation, Inc.

  dba Ochsner Rush Medical Center Emergency Room Professional Services

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1700917994
  NPD
• Rush Medical Foundation

  dba Ochsner Health Center-Rush

  • Rural Health Clinic/Center
  • Meridian, MS
  • NPI 1275910663
  NPD

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

• Laird Hospital, Inc.

  dba Ochsner Laird Hospital

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  Care Compare affiliation
• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  Care Compare affiliation
• Rush Medical Foundation

  dba Ochsner Rush Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation
• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1972216240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393500608",
            "telephone_number": "662-694-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 EASTSIDE DR",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458036",
            "telephone_number": "601-228-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRELAN",
        "middle_name": "MIKAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Mississippi State Hospital (EMSH Community Services)
• Rebecca Elon Everett Espey, N.P.
• Leslie Kevin Ethridge, D.C.
• Fast Pace Mississippi, PLLC
• Footprints Adult Day Services
• Wendy D Gressett, NP-C
• Cheralyn Deanne Harris, M.S., CCC-A
• Misty M Harris, CPNP
• Victoria Harris
• John Barnes Harrison, D.M.D.

• Family Nurse Practitioner in Newton, MS
• Providers in Newton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.