JESSICA MARIE GARCIA DNP-PMHNP
NPI 1386344612
Nurse Practitioner - Psychiatric/Mental Health in Fond Du Lac, WI

Q: What is Jessica Garcia's NPI number?

The NPI number for Jessica Garcia is 1386344612. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Q: What is Jessica Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Garcia was last updated on March 6, 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.

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8420(920) 926-8913 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jessica Marie Garcia Dnp-pmhnp NPPES

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

JESSICA MARIE GARCIA DNP-PMHNP (NPI 1386344612) is an individual psychiatric/mental health provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (13686-33) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Ripon Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386344612

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA MARIE GARCIACredential: DNP-PMHNP

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address128 Mary Ann Rd Apt 7Beaver Dam, WI 53916-3134 · (815) 353-5689

Phone(920) 926-8420

Fax(920) 926-8913

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 6, 2023

NPPES CertifiedFebruary 6, 2023

✔ NPI 1386344612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 13686-33

420 E DIVISION ST, Fond Du Lac, WI 54935

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.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

Jessica Marie Garcia Dnp-pmhnp 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 ID7416322409

PECOS Enrollment IDI20230404002907

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 Jessica Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare Inc

Same address

Family Medicine

420 E DIVISION ST
Fond Du Lac, WI 54935

Reassigned Medicare billing, Wisconsin enrollment
606 clinicians in this Medicare group

NPI 1730162991 (920) 923-7400

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.

Ripon Medical Center

Critical Access Hospitals · Ripon, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521321

Location845 Parkside StRipon, WI 54971 · Fond Du Lac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

MARY R KELM NP

Nurse Practitioner