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Active NPI 1679117451 Individual Practitioner Male Practitioner

Mario Gardner , APRN

Nurse Practitioner • Destin, FL

Professional Overview & Biography Verified Profile Summary

Mario Gardner, APRN is a certified Nurse Practitioner practicing in Destin, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Mario Gardner delivers high-quality medical care to the local community at 137 CRYSTAL BEACH DR STE 121.

Mario Gardner maintains professional affiliations with Icare Mobile Medicine, Llc, Gulf Coast Pain Consultants Llc, Ibrahim Heart Clinic Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, oritavancin (kimyrsa), 10 mg, removal of skin and tissue, 20.0 sq cm or less, woundplus membrane or e-graft, per square centimeter. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

137 Crystal Beach Dr Ste 121

Destin, FL 325413573

Telephone 8508074388
Fax 8508620605
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Destin, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +1.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Destin, FL (8990 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gardner (7 Years) 7 Yrs
Destin Specialty Average (6.0 Years) 6.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J2406 Injection, oritavancin (kimyrsa), 10 mg
3,781 24 $124.20 $40.82
11042 Removal of skin and tissue, 20.0 sq cm or less
1,011 159 $383.70 $101.84
Q4277 Woundplus membrane or e-graft, per square centimeter
816 15 $1800.88 $1738.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
707 143 $384.00 $103.31
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
484 26 $123.00 $33.39
J1335 Injection, ertapenem sodium, 500 mg
218 28 $46.11 $11.01
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
215 34 $186.00 $49.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
130 37 $42.00 $18.72
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
100 21 $450.00 $126.35
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
78 28 $84.00 $22.66
97597 Removal of tissue from wound, 20.0 sq cm or less
56 11 $297.00 $76.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $501.00 $139.25
96375 Injection of additional new drug or substance into vein
16 14 $51.00 $12.34
J1200 Injection, diphenhydramine hcl, up to 50 mg
16 15 $3.50 $0.88

Medical Specialties & State Licenses

CMS Verified: 2024-02-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11006004

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License FL RN9265919

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License FL APRN11006004

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
105938800 (FL)

Hospital & Practice Group Affiliations

Gulf Coast Pain Consultants Llc

408 Medical Park Dr, Atmore, AL 365023016

Phone: 8555277246

Ibrahim Heart Clinic Pllc

5150 Belfort Rd, Jacksonville, FL 322566026

Phone: 9045804730

Gulf Coast Pain Consultants Llc

3810 Hwy 90, Pace, FL 325711014

Phone: 8504844080

Icare Mobile Medicine, Llc

2525 Embassy Dr, Hollywood, FL 330264573

Phone: 7866617830

Secondary Practice Locations

917 Mar Walt Dr

Fort Walton Beach, FL 325476651

Phone: 8508623979

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Alvin Wells , MD

Internal Medicine - Rheumatology

NPI 1134234859

Doctor of Medicine (M.D.)

Dr. Scott Rojas , MD

Internal Medicine - Infectious Disease

NPI 1285609784

Doctor of Medicine (M.D.)

Dr. Anatoliy Korzhuk , MD

Internal Medicine - Pulmonary Disease

NPI 1669963500

Doctor of Medicine (M.D.)

Dr. Michael Vincent Tablang , MD

Internal Medicine - Infectious Disease

NPI 1679763387

Doctor of Medicine (M.D.)

Crystal Mcvay , ARNP

Nurse Practitioner - Adult Health

NPI 1710405519

Advanced Registered Nurse Practitioner

Dr. Christopher Abrasley , MD

Internal Medicine - Gastroenterology

NPI 1760505341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 15, 2024

Registered at 137 CRYSTAL BEACH DR STE 121, DESTIN, FL 325413573 (Tel: 8508074388)

📍
Updated Business Mailing Address February 15, 2024

Registered at 917 MAR WALT DR, FORT WALTON BEACH, FL 325476651 (Tel: 5086239798)

👤
Provider Name / Credentials Updated February 15, 2024

Recorded as MARIO GARDNER, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Nurse Practitioner (License #APRN11006004 in FL)

📍
Updated Practice Location March 26, 2020

Registered at 5149 N 9TH AVE STE 120, PENSACOLA, FL 325048734 (Tel: 8504791805)

📍
Updated Business Mailing Address March 26, 2020

Registered at PO BOX 11982, PENSACOLA, FL 325241982 (Tel: 8504791805)

NPI Profile Active November 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2019

Registered at 1935 STALLION RD, CANTONMENT, FL 325337562 (Tel: 8505250939)

📍
Updated Business Mailing Address November 04, 2019

Registered at 1935 STALLION RD, CANTONMENT, FL 325337562

👤
Provider Name / Credentials Updated November 04, 2019

Recorded as MARIO GARDNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2019

Registered Nurse (License #RN9265919 in FL)

🟢
Initial NPI Registration & Enumeration November 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679117451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2019
Last Update: February 15, 2024
Sole Proprietor: No

Mailing Address

917 Mar Walt Dr

Fort Walton Beach, FL 325476651

Phone: 5086239798

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.