Individual provider Active NPI

Jennifer Lynn Garcia, FNP-C

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1639891054
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69530 Issued in NM
Practice address
3791 Southern Blvd SE Ste 100
Rio Rancho, NM 87124-7417
Phone
(505) 994-9435
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 69530 NM Primary

Addresses

Primary practice location

3791 Southern Blvd SE Ste 100
Rio Rancho, NM 87124-7417

Mailing address

6604 Icarian Rd NE
Rio Rancho, NM 87144-7652
Phone (575) 779-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221119000534 NM Practitioner - Nurse Practitioner 0941678171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

3791 Southern Blvd SE
Suite 100
Rio Rancho, NM 87124-7417
Phone (505) 994-9435

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G & M Medical Center CurrentSince Feb 26, 2023 Accepting new patients
National Sinus Institute PLLC Family CurrentSince Nov 1, 2022 Accepting new patients

Locations

1720 Louisiana Blvd NE
Ste 401A
Albuquerque, NM 87110

6709 Academy Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 207-7550

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

1316 Jackie Rd SE
Ste 400
Rio Rancho, NM 87124
Phone (505) 234-1612

3791 Southern Blvd SE
Ste 100
Rio Rancho, NM 87124
Phone (505) 207-7550

159 Mescalero Trl
Ruidoso, NM 88345
Phone (505) 257-3681

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1639891054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 ICARIAN RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447652",
            "telephone_number": "575-779-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 SOUTHERN BLVD SE STE 100",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871247417",
            "telephone_number": "505-994-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.