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KAREN A GARCIA NP
NPI 1265103477
Nurse Practitioner in Chandler, AZ

Active since September 27, 2021PECOS EnrolledAccepts Medicare Assignment
4045 W CHANDLER BLVD, CHANDLER, AZ 85226(480) 917-3706(480) 353-2066 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Sep 27, 2021 (2 updates tracked since 2021).

About Karen A Garcia Np NPPES

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

KAREN A GARCIA NP (NPI 1265103477) is an individual nurse practitioner in Chandler, Arizona, licensed in Arizona (286071) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of University Of Arizona College Of Medicine (2022).

NPPES Registry Identity

NPI1265103477
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN A GARCIACredential: NP
Location Address4045 W CHANDLER BLVDChandler, AZ 85226-3732
Mailing Address4130 E Palo Verde StGilbert, AZ 85296-1180 · (480) 495-1876
Phone(480) 917-3706
Fax(480) 353-2066
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2022
Enumeration DateSeptember 27, 2021
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1265103477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 286071
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN163644 (AZ)
4045 W CHANDLER BLVD, Chandler, AZ 85226
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Secondary Practice Location 1

Location 14130 E Palo Verde StGilbert, AZ 85296-1180 · Phone (480) 495-1876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Karen A Garcia Np 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 ID9133669021
PECOS Enrollment IDI20240905004536
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.

Areas of Expertise CMS Part B claims 2

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.
131 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85226 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

SUN VALLEY PEDIATRICS, PC
Pediatrics
4045 W CHANDLER BLVD
CHANDLER, AZ 85226
Maricopa County (480) 355-5437
SUN VALLEY PEDIATRIC URGENT CARE
Clinic/Center (Urgent Care)
4045 W CHANDLER BLVD
CHANDLER, AZ 85226
Maricopa County (480) 355-5437
MEGAN CORDERY
Physician Assistant
4045 W CHANDLER BLVD
CHANDLER, AZ 85226
Maricopa County (480) 917-3706

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 Karen Garcia's NPI number?

The NPI number for Karen Garcia is 1265103477. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Karen Garcia located?

Karen Garcia practices at 4045 W Chandler Blvd, Chandler, AZ 85226. The listed phone number is (480) 917-3706.

What is Karen Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Garcia enrolled in Medicare?

Yes. Karen 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.

What insurance does Karen Garcia accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Karen 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 Karen Garcia was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.