MRS. MITZI NICOLE GARDNER (APRN) – Family Nurse Practitioner, NPI 1245481811
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for MRS. MITZI NICOLE GARDNER (APRN)
Stanley Gault Parkway, Berrytown, Louisville, Jefferson County, Kentucky, 40245, United States
LOUISVILLE, KY 402235176
Phone: (502) 253-4900
Fax: (502) 489-5751
Type: Mailing
601 Greene Dr
Family Practice of Greenville PSC
Greenville, KY 423451451
Phone: (270) 338-0600
Fax: (270) 338-0605
Type: Location
5200 COMMERCE CROSSINGS DR FL 3
LOUISVILLE, KY 402292182
Phone: (502) 253-4924
Fax: (502) 489-5750
Type: Mailing
Baptist Health Urgent Care - Powderly, 1010, Medical Center Drive, Powderly, Muhlenberg County, Kentucky, 42367, United States
POWDERLY, KY 423675463
Phone: (270) 377-1600
Fax: (270) 377-1675
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $675.
Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novo Nordisk Inc ($210).
Total Amount
$675
General + Research + Ownership
Payments
38
Total payment records
General Amount
$675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $210 |
| ABBVIE INC. | $170 |
| Astellas Pharma US Inc | $66 |
| Exact Sciences Corporation | $55 |
| Xeris Pharmaceuticals, Inc. | $38 |
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: 2009-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090630000478 | I | Nurse Practitioner | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 81002 | Urinalysis, manual test | 35 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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