Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962466938 Individual Practitioner Male Practitioner

Timothy F Gardner , NP

Nurse Practitioner • Gary, IN

Professional Overview & Biography Verified Profile Summary

Timothy Gardner, NP is a registered healthcare professional specializing in Nurse Practitioner in Gary, IN. Practice services are available at 4802 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4802 Broadway

Gary, IN 464084509

Telephone 2198874950
Associated Practice Facility / Clinic
🏢 Trc - Indiana Llc Facility NPI 1952364648

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gary, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Gary, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71001772B

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200496760 (IN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Raied Abdullah , MD

Internal Medicine - Nephrology

NPI 1063417657

Doctor of Medicine (M.D.)

Dr. Kupusamy Umapathy , MD

Internal Medicine - Nephrology

NPI 1306842786

Doctor of Medicine (M.D.)

Ellan Hood , CNS

Clinical Nurse Specialist - Adult Health

NPI 1548310873

Clinical Nurse Specialist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address June 29, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664

NPI Profile Active March 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2008

Registered at 4802 BROADWAY, GARY, IN 464084509 (Tel: 2198874950)

📍
Updated Business Mailing Address March 17, 2008

Registered at 9201 CALUMET AVE, MUNSTER, IN 463212807 (Tel: 2198362022)

👤
Provider Name / Credentials Updated March 17, 2008

Recorded as TIMOTHY GARDNER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2008

Nurse Practitioner (License #71001772B in IN)

🟢
Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962466938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2006
Last Update: June 29, 2020
Sole Proprietor: No

Mailing Address

9900 Bren Rd E

Minnetonka, MN 553439664

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.