Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Marie Gardner, PA-C

Individual provider Physician Assistant · NPI 1871075887

Kristen Marie Gardner, PA-C is a Physician Assistant in Chandler, Arizona. Qualified in 2018, 8 years ago. Practices with Momdoc LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277
Phone: (480) 821-3616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7200 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 7200 (AZ)

Record details

NPI number1871075887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Momdoc Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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