ELIZABETH GARDNER (APRN, DNP) – Family Nurse Practitioner, NPI 1295734333

Family Nurse Practitioner

ELIZABETH GARDNER (APRN, DNP) is a healthcare provider. based in Bedford, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN, DNP. They hold a License No. AP106039 (TX). The NPI Number for ELIZABETH GARDNER (APRN, DNP) is 1295734333

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

ELIZABETH GARDNER (APRN, DNP)

NPI

1295734333

Phone

(817) 283-0161

Address

601 N INDUSTRIAL BLVD

Enumeration Date

20 July 2005

Last Update Date

28 January 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

1986 (40 years ago)

PAC ID

9739263823

Group Practice PAC ID

7416039177

Professional Enrollment ID

I20080228000039

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ELIZABETH GARDNER (APRN, DNP)

601, North Industrial Boulevard, Bedford, Tarrant County, Texas, 76021, United States
BEDFORD, TX 760215234
Phone: (817) 283-0161
Type: Location
5201 Harry Hines Blvd
MEDICAL STAFF SERVICES
Dallas, TX 752357708
Phone: (214) 590-8006
Type: Location
13013 SWEET BAY DR
EULESS, TX 760407181
Phone: (214) 783-1489
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-02-28

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

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
I20080228000039	I	Nurse Practitioner	TX	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76021)

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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: 7416039177View full group profile

Name	Specialty	State
SHELLY GALLINI (PA-C)	-	TX
MRS. UKISHA NEWSOME (MSN, APRN, FNP-C)	-	TX
PRUDENCE CORNELIUS OPPONG (FNP)	Nurse Practitioner	TX
ASHLEY LINGO (PA-C)	-	TX
DEBORAH KAY BROWN (NP-C)	Nurse Practitioner	TX
MARYROSE OBIDIAKU (NP)	-	TX
MS. JASMINE PATRICE DARK (FNP-BC)	-	TX
ISRAEL MARTINEZ (NP)	Nurse Practitioner	TX
MS. SANDRA SUE HORWITZ (FNP-C)	-	TX
DR. SHAHEEN KAVOUSSI (M.D.)	O P H T H A L M O L O G Y	TX