Individual provider Active NPI

Marcel Marcial Garcia Escobar Sr.

  • Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1629804604
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11033872 Issued in FL
Practice address
207 Maple Ave N
Lehigh Acres, FL 33936-1456
Phone
(786) 915-1303
NPI assigned
Sep 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11033872 FL Primary

Addresses

Primary practice location

207 Maple Ave N
Lehigh Acres, FL 33936-1456

Mailing address

207 Maple Ave N
Lehigh Acres, FL 33936-1456
Phone (786) 915-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Maple Ave N
Lehigh Acres, FL 33936-1456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11033872FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garcias Wellness and Health Care CurrentSince Sep 15, 2024 Accepting new patients

Locations

1251 Taylor Lane Ext
Ste 6A4
Lehigh Acres, FL 33936
Phone (239) 340-5060

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1629804604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAPLE AVE N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361456",
            "telephone_number": "786-915-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAPLE AVE N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361456",
            "telephone_number": "786-915-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ESCOBAR",
        "first_name": "MARCEL",
        "middle_name": "MARCIAL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11033872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.