MARIAM GARCIA FNP
NPI 1104504547
Nurse Practitioner - Family in Bossier City, LA
About Mariam Garcia Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM GARCIA FNP (NPI 1104504547) is an individual family provider in Bossier City, Louisiana, licensed in Delaware (LG-0012410) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and maintains a secondary practice location in Dover.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mariam Garcia Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mariam Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 70 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 88 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
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 Mariam Garcia's NPI number?
The NPI number for Mariam Garcia is 1104504547. It was assigned to this individual provider in the NPPES registry on July 6, 2023.
Where is Mariam Garcia located?
Mariam Garcia practices at 1514 Doctors Dr, Bossier City, LA 71111. The listed phone number is (318) 549-2500.
What is Mariam Garcia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mariam Garcia enrolled in Medicare?
Yes. Mariam 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 Mariam Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Garcia reassigns Medicare benefits to 2 organizations: David Raines Community Health Center, Inc (Bossier City, LA) and Westside Family Healthcare, Inc (Newark, DE). 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 Mariam Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariam Garcia accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Mariam 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.
Is Mariam Garcia affiliated with any hospitals?
According to CMS data, Mariam Garcia is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Mariam Garcia was last updated on December 30, 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.
# Mariam Garcia, FNP · NPI 1104504547
Family physician in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since July 6, 2023.
## Identity
- **NPI:** 1104504547 (Entity type: Individual)
- **Enumerated:** July 6, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0012410 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1514 DOCTORS DR, Bossier City, LA 71111
- **Phone:** (318) 549-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): David Raines Community Health Center, Inc (NPI 1891964789, Bossier City, LA); Westside Family Healthcare, Inc (NPI 1801898556, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104504547) · Data from the CMS NPPES public registry.