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RAUL GARCIA APRN-CNP
NPI 1063382315
Nurse Practitioner - Acute Care in Edinburg, TX

Active since November 10, 2025PECOS Enrolled
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677(956) 362-7253 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2025, Nov 13, 2025 (2 updates tracked since 2025).

About Raul Garcia Aprn-cnp NPPES

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

RAUL GARCIA APRN-CNP (NPI 1063382315) is an individual acute care provider in Edinburg, Texas, licensed in Texas (1216085) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063382315
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRAUL GARCIACredential: APRN-CNP
Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503
Mailing AddressPo Box 6148Mcallen, TX 78502-6148 · (956) 362-8677 · Fax (956) 362-7253
Phone(956) 362-8677
Fax(956) 362-7253
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 10, 2025
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1063382315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1216085
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1216085 (TX)
5501 S MCCOLL RD, Edinburg, TX 78539
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Garcia Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496247520
PECOS Enrollment IDI20251125003082
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 Reassignment

Medicare enrollment records show Raul Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renaissance Icu Group
Same address
Critical Care Medicine
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
NPI 1740715820 (956) 362-8677

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 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 20

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

MR. ADOLFO ARTEAGA APRN-CNP
Nurse Practitioner (Acute Care)
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-8677
HENRIETTA J PEYNADO MSN,RN,FNP-BC,OCN
Nurse Practitioner (Family)
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3780
DR. AMINADAB GODINA FLORES MD
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 249-2739
MARIA SOSA
Specialist/Technologist, Other (Surgical Technologist)
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-7451
SALMAN BANGASH MD
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3575
DR. MATTHEW BRADLEY WATSON CRNA
Nurse Anesthetist, Certified Registered
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (867) 795-6362
ASMA SALIH MOHAMMED TARJMANI
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 369-5100
DAY SURGERY AT RENAISSANCE,LLC
Physician Assistant
5501 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 362-3300

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 Raul Garcia's NPI number?

The NPI number for Raul Garcia is 1063382315. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Raul Garcia located?

Raul Garcia practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-8677.

What is Raul Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Raul Garcia enrolled in Medicare?

Yes. Raul Garcia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raul Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Garcia reassigns Medicare benefits to Renaissance Icu Group (Edinburg, TX). The 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 Raul Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas list Raul 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 Raul Garcia was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.