NATHAN GARDNER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053083865

NATHAN GARDNER (PMHNP) is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1055941 (TX). The NPI Number for NATHAN GARDNER (PMHNP) is 1053083865

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN GARDNER (PMHNP)
NPI
1053083865
Phone
(512) 440-4800
Address
1407 W STASSNEY LN
Enumeration Date
30 September 2021
Last Update Date
30 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448248775
Graduation Year
2021 (5 years ago)
PAC ID
8022409697
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20211216000264
Address ID
TX786643043RO505XXBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for NATHAN GARDNER (PMHNP)

  • 1407 W STASSNEY LN

    AUSTIN, TX 787452947

    Phone: (512) 440-4800

    Type: Location

  • 501 S RED RIVER ST

    HENRIETTA, TX 763653709

    Phone: (940) 228-6510

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,325.

Total Amount is formed as General ($1,325) + Research ($0) + Ownership ($0) = $1,325.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($296).

Total Amount

$1,325

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

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: 2021-12-16

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
I20211216000264INurse PractitionerTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5612$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78745)

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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: 4486794906View full group profile
NameSpecialtyState
Clinical Social WorkerTX
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Nurse PractitionerMD
P S Y C H I A T R YTX
Clinical Social WorkerFL
Clinical PsychologistTX
Nurse PractitionerMO
Clinical Social WorkerTX

Reviews

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Frequently asked questions

Is NATHAN GARDNER (PMHNP) listed with a National Provider Identifier?
Yes — NATHAN GARDNER (PMHNP) has NPI 1053083865 on file in the registry.
Is there an active status for NATHAN GARDNER (PMHNP)?
For scheduling context, NATHAN GARDNER (PMHNP) is shown as active in the registry.
What clinical focus is listed for NATHAN GARDNER (PMHNP)?
At a glance, NATHAN GARDNER (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NATHAN GARDNER (PMHNP) located near Austin?
NATHAN GARDNER (PMHNP) currently maps to Austin, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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