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

Mrs. Nola Jean Gardner, RNMSFNPCDE

Individual provider Diabetes Educator Registered Nurse · NPI 1649300328

Mrs. Nola Jean Gardner, RNMSFNPCDE is a Nurse Practitioner in East Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2013, 13 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

5000 Brittonfield Pkwy Ste B150
East Syracuse, NY 13057-9215
Phone: (315) 766-1627
Fax: (315) 201-8711
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 338005 (NY)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence 20510139 (NY)

Record details

NPI number1649300328
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSFNPCDE
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services