SAMANTHA DE LA GARZA FNP-BC
NPI 1033802665
Nurse Practitioner - Family in Edinburg, TX

Active since May 30, 2023PECOS EnrolledAccepts Medicare Assignment
5525 DOCTORS DR, EDINBURG, TX 78539(956) 362-8740(956) 362-8796 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2024, Jul 6, 2023, May 30, 2023 (3 updates tracked since 2023).

About Samantha De La Garza Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA DE LA GARZA FNP-BC (NPI 1033802665) is an individual family provider in Edinburg, Texas, licensed in Texas (1123760) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033802665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA DE LA GARZACredential: FNP-BC
Location Address5525 DOCTORS DREdinburg, TX 78539-5520
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-8740 · Fax (956) 362-8796
Fax(956) 362-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2023
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1033802665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1123760
5525 DOCTORS DR, Edinburg, TX 78539

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha De La Garza Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668830621
PECOS Enrollment IDI20230623000001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha De La Garza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
Cardiovascular Disease
500 E RIDGE RD, SUITE 300
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services151 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
44 services42 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5525 DOCTORS DR
EDINBURG, TX 78539
Nurse Practitioner (Family)
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5525 DOCTORS DR
EDINBURG, TX 78539
Physician Assistant
5525 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Interventional Cardiology)
5525 DOCTORS DR
EDINBURG, TX 78539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha De La Garza's NPI number?

The NPI number for Samantha De La Garza is 1033802665. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Samantha De La Garza located?

Samantha De La Garza practices at 5525 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8740.

What is Samantha De La Garza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha De La Garza enrolled in Medicare?

Yes. Samantha De La Garza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha De La Garza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha De La Garza reassigns Medicare benefits to 2 organizations: Renaissance Cardiology Group (Edinburg, TX) and Heart Clinic, PLLC (Mcallen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha De La Garza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha De La Garza accept?

Health plans from Blue Cross and Blue Shield of Texas list Samantha De La Garza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha De La Garza affiliated with any hospitals?

According to CMS data, Samantha De La Garza is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Samantha De La Garza was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.