Individual provider Active NPI

Nancy Anne Garcia, APNP

  • Family Nurse Practitioner
  • Waupun, WI
National Provider Identifier
1891757027
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2281 Issued in WI
Practice address
1 W Lincoln St
P.O. 661
Waupun, WI 53963-1949
Phone
(920) 324-6235
Fax
(920) 324-6288
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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 2281 WI Primary
Nurse Practitioner 363L00000X 2281-033 WI

Addresses

Primary practice location

1 W Lincoln St
P.O. 661
Waupun, WI 53963-1949

Mailing address

1 W Lincoln St
P.O. 661
Waupun, WI 53963-1949
Phone (920) 324-6235

Other identifiers 1

IdentifierTypeStateIssuer
41265100MedicaidWI

Other names 1

  • Mrs. Nancy Anne Borenz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040127001092 WI Practitioner - Nurse Practitioner 3678476843 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2281-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 15, 2023 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1891757027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LINCOLN ST",
            "address_2": "P.O. 661",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631949",
            "telephone_number": "920-324-6235",
            "fax_number": "920-324-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LINCOLN ST",
            "address_2": "P.O. 661",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631949",
            "telephone_number": "920-324-6235",
            "fax_number": "920-324-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2281",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2281-033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41265100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BORENZ",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waupun, WI

Sources for this page

Verify at the official NPI Registry.