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

Kaelie Nicole Gardner

Individual provider Family Nurse Practitioner · NPI 1326759135

Kaelie Nicole Gardner is a Nurse Practitioner in Owosso, Michigan. Qualified in 2022, 4 years ago. Practices with Memorial Hospital, a 206-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022

Practice location Address checks out

818 W King St Ste 101
Owosso, MI 48867-2159
Phone: (989) 725-8171
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704341664 (MI)

Record details

NPI number1326759135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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 Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Owosso