ELIZABETH MARIE GARDNER (PA) – Physician Assistant, NPI 1366770166

ELIZABETH MARIE GARDNER (PA) is a healthcare provider. based in Boerne, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA06471 (TX). The NPI Number for ELIZABETH MARIE GARDNER (PA) is 1366770166

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARIE GARDNER (PA)
NPI
1366770166
Phone
(830) 249-9995
Address
1421 MAIN STREET
Enumeration Date
7 December 2009
Last Update Date
27 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302499995
Graduation Year
2009 (17 years ago)
PAC ID
5193852101
Group Practice PAC ID
2668690538
Professional Enrollment ID
I20100423000087
Address ID
TX780063322BO1421XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ELIZABETH MARIE GARDNER (PA)

  • 1421, South Main Street, Boerne, Kendall County, Texas, 78006, United States

    SUITE 111

    BOERNE, TX 780063322

    Phone: (830) 249-9995

    Fax: (830) 249-9868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR INC.$18
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: 2010-04-23

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
I20100423000087IPhysician AssistantTXTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 78006)

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Provider's Procedures

ELIZABETH MARIE GARDNER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX81002Urinalysis, manual test3332

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: 2668690538View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ELIZABETH MARIE GARDNER (PA) in the U.S.?
In the U.S., ELIZABETH MARIE GARDNER (PA) is identified by NPI 1366770166.
Should I treat ELIZABETH MARIE GARDNER (PA) as an active provider?
Patients and plans typically see ELIZABETH MARIE GARDNER (PA) as active in the national extract.
What does the directory say ELIZABETH MARIE GARDNER (PA) does?
Insurance directories may phrase it differently, but here ELIZABETH MARIE GARDNER (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ELIZABETH MARIE GARDNER (PA)?
ELIZABETH MARIE GARDNER (PA) shows a connection to Boerne, Texas in registry-derived data.
Why is information missing for ELIZABETH MARIE GARDNER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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