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

Michelle A Gardner

Individual provider Physician Assistant · NPI 1891073102

Michelle A Gardner is a Physician Assistant in Peoria, Illinois. Qualified in 2014, 12 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2011
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Practice location Address checks out

8600 State Route 91 Ste 400
Peoria, IL 61615-7842
Phone: (309) 683-4300
Fax: (309) 683-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1891073102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2011
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address8600 State Route 91 Ste 400, Peoria, IL 61615-7842

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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