Individual provider Active NPI

Willy Ann Garcia, NP-C

  • Family Nurse Practitioner
  • Dakota Dunes, SD
National Provider Identifier
1942923339
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002606 Issued in SD
Practice address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone
(605) 217-2667
Fax
(605) 217-2900
NPI assigned
Sep 21, 2022
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R049217 SD
Family Nurse Practitioner 363LF0000X A171889 IA
Family Nurse Practitioner 363LF0000X 114532 NE
Family Nurse Practitioner 363LF0000X CP002606 SD Primary

Addresses

Primary practice location

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Mailing address

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, 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
I20230215002111 NE Practitioner - Nurse Practitioner 0244602464 Reassigns benefits to 1 organization
I20230215002292 IA Practitioner - Nurse Practitioner 0244602464 Reassigns benefits to 1 organization
I20230220000811 SD Practitioner - Nurse Practitioner 0244602464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

201 E 4TH St
Suite 202
South Sioux City, NE 68776-9928
Phone (605) 217-2667

5708 Sunnybrook CT
Sioux City, IA 51106-4254
Phone (605) 217-2667

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

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
R049217SDMDRegistered Nurse
A171889IAMDFamily Nurse Practitioner
114532NEMDFamily Nurse Practitioner
CP002606SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Cnos, PC CurrentSince Dec 6, 2022 Accepting new patients
Cnos PC CurrentSince Dec 6, 2022 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

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: wgarcia521070@direct.unitypoint.org
  • Direct secure messaging: willygarcia@cnos.allscriptsdirect.net

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, 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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1942923339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "WILLY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R049217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.