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

Kelsi Marie Gardner, PA

Individual provider Physician Assistant · NPI 1194182832

Kelsi Marie Gardner, PA is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2015, 11 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3215 N North Hills Blvd
Fayetteville, AR 72703
Phone: (479) 463-7102
Fax: (479) 463-7864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-658 (AR)

Record details

NPI number1194182832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 26, 2016
Last updated in NPPESApril 11, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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