DYESS GARDNER (RN) – Family Nurse Practitioner, NPI 1417565250

DYESS GARDNER (RN) is a healthcare provider. based in Quitman, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 991131 (TX). The NPI Number for DYESS GARDNER (RN) is 1417565250

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DYESS GARDNER (RN)
NPI
1417565250
Phone
Not provided
Address
2192 STATE HIGHWAY 182
Enumeration Date
17 July 2020
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6057896576
Graduation Year
2024 (2 years ago)
PAC ID
6002308343
Group Practice PAC ID
4183162431
Professional Enrollment ID
I20251124002452
Address ID
TX760136713AR1300XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DYESS GARDNER (RN)

  • 2192 STATE HIGHWAY 182

    QUITMAN, TX 757835568

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-11-24

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
I20251124002452INurse 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.

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

Insurance plans in this area (ZIP 75783)

Loading plans...

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: 4183162431View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DYESS GARDNER (RN) in U.S. healthcare records?
The official identifier for DYESS GARDNER (RN) is NPI 1417565250.
Would DYESS GARDNER (RN) appear as active to a payer?
You can treat DYESS GARDNER (RN) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DYESS GARDNER (RN)?
At a glance, DYESS GARDNER (RN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DYESS GARDNER (RN) associated with Quitman?
Public fields place DYESS GARDNER (RN) around Quitman, Texas. Always confirm the exact site before visiting.
Does DYESS GARDNER (RN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MRS. SUZANNE DAWSON TERRELL (FNP)

Family Nurse Practitioner
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1932435518

MRS. SARAH MCCUTCHEON (APRN, FNP-C)

Family Nurse Practitioner
5802 BERETTA BLVD
NPI: 1902349111

MR. ADAM DON SWITZER (MSN, RN, FNP-C)

Family Nurse Practitioner
1339 S Broadway St
NPI: 1821502931

AMBER MARTINEZ (FNP-C)

Family Nurse Practitioner
1655, Oak Grove Road, Quitman, Wood County, Texas, 75783, United States
NPI: 1700372299

MEGAN FRANCIS

Family Nurse Practitioner
1100 E LAKE ST
NPI: 1699314062

ANDREW TARBUTTON (FNP-C)

Family Nurse Practitioner
627 E LANE ST
NPI: 1679103790

SHAWN HILLHOUSE (MSN, APRN, NP-C)

Family Nurse Practitioner
900 NW 12TH ST
NPI: 1225664097

MORGAN CHANDEL HEARN (NP)

Family Nurse Practitioner
117 N WINNSBORO ST
NPI: 1457924847

MRS. SHELBY HARRY (FNP)

Family Nurse Practitioner
612 S Fleishel Ave
NPI: 1881331783