Individual provider Active NPI

Wilmar Austero Garcia, FNP-C

  • Dermatology Physician
  • Sioux City, IA
National Provider Identifier
1740953439
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A164470 Issued in IA
Practice address
2730 Pierce St Ste 300
Sioux City, IA 51104-3765
Phone
(712) 279-3637
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A164470 IA Primary

Addresses

Primary practice location

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Mailing address

359 W Pinehurst TRL
Dakota Dunes, SD 57049-5234
Phone (712) 204-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211216001560 IA Practitioner - Nurse Practitioner 1557752045 Reassigns benefits to 1 organization
I20211216001639 NE Practitioner - Nurse Practitioner 1557752045 Reassigns benefits to 1 organization
I20220606002108 SD Practitioner - Nurse Practitioner 1557752045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

1200 Providence Rd
Wayne, NE 68787-1212
Phone (402) 375-7953

201 E 4TH St
South Sioux City, NE 68776-9916
Phone (605) 217-2667

2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-3368

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-8113

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164470IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cnos PC CurrentSince Jan 3, 2022 Accepting new patients
Cnos, PC CurrentSince Jan 3, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

300 Sioux Valley Dr
Ste Crc
Cherokee, IA 51012

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

2730 Pierce St
Ste 300
Sioux City, IA 51104
Phone (712) 234-1005

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

5708 Sunnybrook Ct
Sioux City, IA 51106

201 E 4th St
Ste 202
South Sioux City, NE 68776

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

Interoperability endpoints

  • Direct secure messaging: wilmargarcia@cnos.allscriptsdirect.net
  • Direct secure messaging: wgarcia637283@direct.unitypoint.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1740953439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 W PINEHURST TRL",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495234",
            "telephone_number": "712-204-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043765",
            "telephone_number": "712-279-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "WILMAR",
        "middle_name": "AUSTERO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "A164470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.