NPIMap

Individual provider Active NPI

Ursula Garcia, FNP-BC

  • Family Nurse Practitioner
  • Summit, IL
National Provider Identifier
1184053506
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.010596 Issued in IL
Practice address
7450 W 63Rd St
Summit, IL 60501-1816
Phone
(708) 458-0757
Fax
(708) 458-3784
NPI assigned
Nov 6, 2013
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 209.010596 IL Primary

Addresses

Primary practice location

7450 W 63Rd St
Summit, IL 60501-1816

Mailing address

7450 W 63Rd St
Summit, IL 60501-1816
Phone (708) 458-0757

Other identifiers 1

IdentifierTypeStateIssuer
209.010596OtherILADVANCED PRACTICE NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ugarcia6712@direct.achn.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211001229 IL Practitioner - Nurse Practitioner 2567699820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.010596ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Dec 9, 2013 Accepting new patients
Cook County Current Accepting new patients
Access Community Health Network CurrentSince Dec 9, 2013 Accepting new patients
Cook County CurrentSince Apr 20, 2023 Accepting new patients
Cook County CurrentSince Apr 20, 2023 Accepting new patients
Access Community Health Network Current Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

7450 W 63rd St
Summit Argo, IL 60501
Phone (708) 458-0757

Interoperability endpoints

  • Direct secure messaging: ugarcia6712@direct.achn.net

Organizations & group practices 7

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1184053506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011816",
            "telephone_number": "708-458-0757",
            "fax_number": "708-458-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011816",
            "telephone_number": "708-458-0757",
            "fax_number": "708-458-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "URSULA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.010596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "209.010596",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ugarcia6712@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7450 W 63rd St",
            "city": "Summit",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605011816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summit, IL

Sources for this page

Verify at the official NPI Registry.