Individual provider Active NPI

Penny M Garza, RN-FNP

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1982141677
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133019 Issued in TX
Practice address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Phone
(830) 773-5358
Fax
(830) 773-0258
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 AP133019 TX Primary

Addresses

Primary practice location

2525 N Veterans Blvd
Eagle Pass, TX 78852-3302

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917

Other identifiers 3

IdentifierTypeStateIssuer
2016025869OtherTXAMERICAN NURSE CREDENTIALING CENTER
APRN LIC.#: AP133019OtherTXFAMILY NURSE PRACTITIONER
3762486-01MedicaidTX

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
I20170421000178 TX Practitioner - Nurse Practitioner 5496031742 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers Family CurrentSince Mar 11, 2017 Accepting new patients
United Medical Centers Family CurrentSince Mar 11, 2017 Accepting new patients
United Medical Centers Past Accepting new patients

Locations

913 S Main St
Del Rio, TX 78840
Phone (830) 774-5534

4018 El Indio Hwy
Eagle Pass, TX 78852
Phone (830) 776-8917

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

Interoperability endpoints

  • Direct secure messaging: penny.garza.p1@direct.umchealth.nextgenshare.com

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1982141677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-5358",
            "fax_number": "830-773-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "PENNY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSE CREDENTIALING CENTER",
            "identifier": "2016025869",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "APRN LIC.#: AP133019",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3762486-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.