Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beau Gardner, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538895594

Beau Gardner, PMHNP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices with Agave Solutions PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

868 E University Dr
Mesa, AZ 85203-8033
Phone: (480) 969-4024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 278490 (AZ)

Record details

NPI number1538895594
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateJune 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Agave Solutions Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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