NPI age
9 years
Enumerated 2017-01-03
● Active
Type 1 · Individual
Andrea Beth Gardner, PA-C
Gardner is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
9 years
≈ at median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Practice location
3500 Potomac Way Ste 100
Idaho Falls, ID 834044977
Mailing address
3500 Potomac Way Ste 100
Idaho Falls, ID 834044977
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.