Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Joseph Gardner III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720417090

Mr. Charles Joseph Gardner III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lansing, Michigan. Qualified in 2013, 13 years ago. Practices with Eaton Rapids Medical Center, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone: (517) 975-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704272333 (MI)

Record details

NPI number1720417090
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 6, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Eaton Rapids Medical Center — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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