Individual provider Active NPI

Jessica Garcia, FNP

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1124321096
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
723314 Issued in TX
Practice address
502 S Closner Blvd
Edinburg, TX 78539-4660
Phone
(956) 292-0100
Fax
(956) 383-1906
NPI assigned
Dec 14, 2010
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 723314 TX Primary

Addresses

Primary practice location

502 S Closner Blvd
Edinburg, TX 78539-4660

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other identifiers 1

IdentifierTypeStateIssuer
284617207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000718 TX Practitioner - Nurse Practitioner 9537331228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antonio Wong,MD and Associates,PAGroup PAC ID 8729164405, 4 clinicians

Practice addresses (Care Compare)

122 W Champion St
Edinburg, TX 78539-4429
Phone (956) 287-1207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
723314TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Wong,MD & Associates,PA CurrentSince Feb 17, 2021 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Feb 15, 2026 Accepting new patients
South Texas Gastroenterology Associates PA Past Accepting new patients

Locations

122 W Champion St
Edinburg, TX 78539
Phone (956) 287-1207

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

5416 S Jackson Rd
Edinburg, TX 78539
Phone (956) 213-0400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHJBA/Endpoint/JJHJBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1124321096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284617207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.