ASHLEY GARDNER (MD) – Psychiatry Physician, NPI 1619364569

ASHLEY GARDNER (MD) is a healthcare provider. based in Wylie, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. S0453 (TX). The NPI Number for ASHLEY GARDNER (MD) is 1619364569

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY GARDNER (MD)
NPI
1619364569
Phone
(214) 997-4459
Address
611 S HIGHWAY 78 STE 133
Enumeration Date
17 April 2015
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2149974459
Graduation Year
2015 (11 years ago)
PAC ID
8426400854
Group Practice PAC ID
7517319940
Professional Enrollment ID
I20240122000755
Address ID
TX750983983WY404XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for ASHLEY GARDNER (MD)

  • 611 S HIGHWAY 78 STE 133

    WYLIE, TX 75098

    Phone: (214) 997-4459

    Fax: (972) 848-8592

    Type: Location

  • 1313 ELM DR

    WYLIE, TX 750984833

    Phone: (214) 997-4459

    Fax: (972) 848-8592

    Type: Mailing

  • 404 S JACKSON AVE SUITE 102

    WYLIE, TX 75098

    Phone: (214) 997-4459

    Fax: (972) 848-8592

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-05-09 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$21

General + Research + Ownership

Payments

2

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
Corium, LLC$7
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: 2024-01-22

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
I20240122000755IPsychiatryTXTBD

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 75098)

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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: 7517319940View full group profile
NameSpecialtyState
Nurse PractitionerTX
Marriage And Family TherapistTX

Reviews

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Frequently asked questions

How do payers reference ASHLEY GARDNER (MD)?
For ASHLEY GARDNER (MD), use NPI 1619364569 as the unique 10-digit identifier.
Active or inactive — what applies to ASHLEY GARDNER (MD)?
You should see ASHLEY GARDNER (MD) as active in CMS-hosted NPPES data.
What area of care is associated with ASHLEY GARDNER (MD)?
ASHLEY GARDNER (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is ASHLEY GARDNER (MD) associated with Wylie?
Public fields place ASHLEY GARDNER (MD) around Wylie, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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