MRS. KATHERINE ELIZABETH GARDNER (N.P.) – Family Nurse Practitioner, NPI 1366883209

MRS. KATHERINE ELIZABETH GARDNER (N.P.) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN185338 (GA). The NPI Number for MRS. KATHERINE ELIZABETH GARDNER (N.P.) is 1366883209

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERINE ELIZABETH GARDNER (N.P.)
NPI
1366883209
Phone
(386) 239-8500
Address
545 HEALTH BLVD
Enumeration Date
8 July 2013
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862398500
Graduation Year
2013 (13 years ago)
PAC ID
4486884822
Group Practice PAC ID
2163653585
Professional Enrollment ID
I20160519000310
Address ID
FL321141493DA545XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. KATHERINE ELIZABETH GARDNER (N.P.)

  • 545 HEALTH BLVD

    DAYTONA BEACH, FL 321141493

    Phone: (386) 239-8500

    Type: Location

  • 12109 COUNTY ROAD 103

    OXFORD, FL 344842951

    Phone: (352) 205-8981

    Fax: (352) 391-6498

    Type: Mailing

  • 240 SOUTHPARK CIR E

    SAINT AUGUSTINE, FL 320865137

    Phone: (904) 824-1450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Astellas Pharma US Inc ($92).

Total Amount

$331

General + Research + Ownership

Payments

12

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160519000310INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test9080$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6451$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5350$0
99213Established patient office or other outpatient visit, 20-29 minutes4440$0
99214Established patient office or other outpatient visit, 30-39 minutes4240$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163653585View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. KATHERINE ELIZABETH GARDNER (N.P.) by NPI?
Use NPI 1366883209 when you need to reference MRS. KATHERINE ELIZABETH GARDNER (N.P.) in forms, claims, or directories.
Is MRS. KATHERINE ELIZABETH GARDNER (N.P.)'s NPI currently valid?
The extract we use shows MRS. KATHERINE ELIZABETH GARDNER (N.P.) as active.
What does MRS. KATHERINE ELIZABETH GARDNER (N.P.) treat or focus on?
Patients typically see MRS. KATHERINE ELIZABETH GARDNER (N.P.) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. KATHERINE ELIZABETH GARDNER (N.P.)'s primary listing?
We display Daytona Beach, Florida because that is what the record indicates for MRS. KATHERINE ELIZABETH GARDNER (N.P.).
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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