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DALILA A GARCIA
NPI 1396579256
Nurse Practitioner - Family in Los Fresnos, TX

Active since August 31, 2024PECOS EnrolledAccepts Medicare Assignment
29912 FM 803, LOS FRESNOS, TX 78566(956) 295-4322 Get Directions Write a Review

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dalila A Garcia NPPES

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

DALILA A GARCIA (NPI 1396579256) is an individual family provider in Los Fresnos, Texas, licensed in Texas (1161911) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396579256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDALILA A GARCIA
Location Address29912 FM 803Los Fresnos, TX 78566-7391
Mailing Address29912 Fm 803Los Fresnos, TX 78566-7391 · (956) 295-4322
Phone(956) 295-4322
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 31, 2024
NPPES CertifiedAugust 31, 2024
✔ NPI 1396579256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1161911
29912 FM 803, Los Fresnos, TX 78566
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.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

Dalila A Garcia 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 ID7911433081
PECOS Enrollment IDI20241212001549
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 Reassignments

2

Medicare enrollment records show Dalila Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arroyo Emergency Medicine Services, PA
10 mi
Emergency Medicine
2101 PEASE ST
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
NPI 1710834916 (956) 389-1100
Travis County Emergency Physicians PA
288 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78566 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Dalila Garcia's NPI number?

The NPI number for Dalila Garcia is 1396579256. It was assigned to this individual provider in the NPPES registry on August 31, 2024.

Where is Dalila Garcia located?

Dalila Garcia practices at 29912 Fm 803, Los Fresnos, TX 78566. The listed phone number is (956) 295-4322.

What is Dalila Garcia's specialty?

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

Is Dalila Garcia enrolled in Medicare?

Yes. Dalila 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 Dalila Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dalila Garcia reassigns Medicare benefits to 2 organizations: Arroyo Emergency Medicine Services, PA (Harlingen, TX) and Travis County Emergency Physicians PA (Austin, TX). 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 Dalila Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dalila Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Dalila 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 Dalila Garcia was last updated on August 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.