Individual provider Active NPI

Jessica Altagracia Garcia, FNP-C

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1750197554
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10047500 Issued in OR
Practice address
1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone
(971) 273-0679
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1110842 TX
Family Nurse Practitioner 363LF0000X 10047500 OR Primary

Addresses

Primary practice location

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040

Mailing address

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone (971) 273-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260504006641 OR Practitioner - Nurse Practitioner 5991273443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Moscati Community Health CareGroup PAC ID 8426312497, 5 clinicians

Practice addresses (Care Compare)

1880 Lancaster Dr NE
Suite 104
Salem, OR 97305-1040
Phone (971) 273-0679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10047500ORMDFamily Nurse Practitioner
1110842TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Moscati Community Health Care CurrentSince Apr 1, 2026 Accepting new patients
Panamericana Family Medicine Clinic PLLC PastSince Dec 8, 2024 Accepting new patients

Locations

1880 Lancaster Dr NE
Ste 104
Salem, OR 97305
Phone (503) 587-9949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17945/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17738/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1750197554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "middle_name": "ALTAGRACIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1110842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10047500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.