JOANN GARCIA NP
NPI 1265415046
Nurse Practitioner in Fresno, CA

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1630 E HERNDON AVE, FRESNO, CA 93720(559) 256-5200(559) 256-5376 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joann Garcia Np NPPES

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

JOANN GARCIA NP (NPI 1265415046) is an individual nurse practitioner in Fresno, California, licensed in California (14922) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265415046
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOANN GARCIACredential: NP
Location Address1630 E HERNDON AVEFresno, CA 93720-3305
Mailing Address1630 E Herndon AveFresno, CA 93720-3305 · (559) 256-5200 · Fax (559) 256-5376
Fax(559) 256-5376
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 25, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1265415046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 14922
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.

1630 E HERNDON AVE, Fresno, CA 93720

Other Identifiers 4

Medicare UPINQ25520CA
OtherP00202090CA · Railroad Medicare
Other0189837CA · State Of Washington
Medicare ID-Type UnspecifiedZZZ30960ZCA

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

Joann 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 ID7810957693
PECOS Enrollment IDI20041015000456
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 7

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
113 services91 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
91 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services61 patients
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.
59 services56 patients
Removal of deep implant from bone 20680
This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.
18 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier17 claims18 services$61.52 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers42 claims42 services$250.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery (Foot and Ankle Surgery)
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Physical Medicine & Rehabilitation
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant
1630 E HERNDON AVE
FRESNO, CA 93720

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 Joann Garcia's NPI number?

The NPI number for Joann Garcia is 1265415046. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Joann Garcia located?

Joann Garcia practices at 1630 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 256-5200.

What is Joann Garcia's specialty?

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

Is Joann Garcia enrolled in Medicare?

Yes. Joann 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.

When was this NPI record last updated?

The NPPES record for Joann Garcia was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.