MARIAM GARCIA FNP
NPI 1104504547
Nurse Practitioner - Family in Bossier City, LA

Q: 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.

Q: What is Mariam Garcia's specialty?

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

Q: 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 19 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.

Active since July 06, 2023PECOS EnrolledAccepts Medicare Assignment

1514 DOCTORS DR, BOSSIER CITY, LA 71111(318) 549-2500 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Jul 13, 2023, Jul 6, 2023 (3 updates tracked since 2023).

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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

NPI1104504547

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIAM GARCIACredential: FNP

Location Address1514 DOCTORS DRBossier City, LA 71111

Mailing Address1514 Doctors DrBossier City, LA 71111-3379 · (318) 549-2500

Phone(318) 549-2500

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 6, 2023

Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1104504547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in DE · LG-0012410

Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0055996 (DE)

1514 DOCTORS DR, Bossier City, LA 71111

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Secondary Practice Location 1

Location 11020 Forrest AveDover, DE 19904-2799 · Phone (302) 678-4622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID143682146

PECOS Enrollment IDI20230808001436, I20240807004335

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.

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, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 9

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

SENEKA CHANEY APRN, FNP-BC

Nurse Practitioner (Family)