MR. BENJAMIN JOSEPH GARCIA APRN
NPI 1053928671
Nurse Practitioner - Family in Bridge City, TX

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
1650 TEXAS AVE, BRIDGE CITY, TX 77611(409) 792-5521 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2021, Sep 28, 2020 (2 updates tracked since 2020).

About Mr. Benjamin Joseph Garcia Aprn NPPES

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

MR. BENJAMIN JOSEPH GARCIA APRN (NPI 1053928671) is an individual family provider in Bridge City, Texas, licensed in Texas (1015111) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053928671
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BENJAMIN JOSEPH GARCIACredential: APRN
Location Address1650 TEXAS AVEBridge City, TX 77611-3538
Mailing Address1650 Texas AveBridge City, TX 77611-3538 · (409) 792-5521
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1053928671 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 · 1015111
1650 TEXAS AVE, Bridge City, TX 77611

Secondary Practice Location 1

Location 11300 Binz St Fl 3Houston, TX 77004-7016 · Phone (713) 285-1000

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

Mr. Benjamin Joseph Garcia Aprn 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 ID6507279882
PECOS Enrollment IDI20210105002040
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

3

Medicare enrollment records show Benjamin Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
3411 SPURLOCK RD
Nederland, TX 77627
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Family Medicine
13410 BRIAR FOREST DR STE 190
Houston, TX 77077
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Urgent Care
13410 BRIAR FOREST DR STE 190
Houston, TX 77077
  • Reassigned Medicare billing, Texas enrollment
  • 8 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77611 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

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

Nurse Practitioner (Family)
1650 TEXAS AVE
BRIDGE CITY, TX 77611

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 Benjamin Garcia's NPI number?

The NPI number for Benjamin Garcia is 1053928671. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Benjamin Garcia located?

Benjamin Garcia practices at 1650 Texas Ave, Bridge City, TX 77611. The listed phone number is (409) 792-5521.

What is Benjamin Garcia's specialty?

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

Is Benjamin Garcia enrolled in Medicare?

Yes. Benjamin Garcia 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 Benjamin Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Garcia reassigns Medicare benefits to 3 organizations: Tower Medical Center Of Nederland PA (Nederland, TX), Hybrid Primary Care PC (Houston, TX) and Lifeline Urgent Care LLC (Houston, 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 Benjamin Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Benjamin Garcia 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.

When was this NPI record last updated?

The NPPES record for Benjamin Garcia was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.