Individual provider Active NPI

Pedro Garcia, APRN-FNP

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1861022188
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144617 Issued in TX
Practice address
2824 N Veterans Blvd Ste a
Eagle Pass, TX 78852-6695
Phone
(830) 213-8815
Fax
(830) 500-3111
NPI assigned
Jan 26, 2020
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 AP144617 TX Primary

Addresses

Primary practice location

2824 N Veterans Blvd Ste a
Eagle Pass, TX 78852-6695

Mailing address

11935 W Mile 8 Rd
Mission, TX 78573-4479
Phone (956) 292-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240103001702 TX Practitioner - Nurse Practitioner 9234589284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3406 Bob Rogers Dr
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144617TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick County Hospital District Family CurrentSince Nov 8, 2023 Accepting new patients
Maverick County Hospital District CurrentSince Nov 8, 2023 Accepting new patients

Locations

2824 N Veterans Blvd
Ste A
Eagle Pass, TX 78852
Phone (830) 213-8815

3406 Bob Rogers Dr
Eagle Pass, TX 78852

3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570

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": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861022188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11935 W MILE 8 RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785734479",
            "telephone_number": "956-292-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 N VETERANS BLVD STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526695",
            "telephone_number": "830-213-8815",
            "fax_number": "830-500-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PEDRO",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-26",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.