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DR. CARLOS JOEL GARCIA CRNP
NPI 1518118199
Nurse Practitioner - Family in Stroudsburg, PA

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
101 POCONO CMNS STE 101, STROUDSBURG, PA 18360(570) 872-9955(570) 872-9288 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, Jan 9, 2020 (2 updates tracked since 2020).

About Dr. Carlos Joel Garcia Crnp NPPES

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

DR. CARLOS JOEL GARCIA CRNP (NPI 1518118199) is an individual family provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP013710) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1518118199
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. CARLOS JOEL GARCIACredential: CRNP
Location Address101 POCONO CMNS STE 101Stroudsburg, PA 18360-7599
Mailing Address225 Erdman StBangor, PA 18013-2043 · (610) 588-2225 · Fax (610) 588-2292
Phone(570) 872-9955
Fax(570) 872-9288
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 1, 2008
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1518118199 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 PA · SP013710
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP013710 (PA)
101 POCONO CMNS STE 101, Stroudsburg, PA 18360
Open in Google Maps ↗

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

Dr. Carlos Joel Garcia Crnp 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 ID5496813974
PECOS Enrollment IDI20140619000961
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

3

Medicare enrollment records show Carlos Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
0.2 mi
Family Medicine
205 APPLEGATE RD STE 101
Stroudsburg, PA 18360
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1831952969 (570) 629-7201
Family Care Centers Inc
3.7 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700
Schuylkill Health System Medical Group, Inc.
54 mi
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1063073823 (570) 621-9200

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

Areas of Expertise CMS Part B claims 4

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services28 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.
20 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services16 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

ELISABETH RAMPERSAD CRNP
Nurse Practitioner (Family)
101 POCONO CMNS STE 101
STROUDSBURG, PA 18360
Monroe County (570) 872-9955
JULIE MATHEW PA-C
Physician Assistant
101 POCONO CMNS STE 101
STROUDSBURG, PA 18360
Monroe County (570) 872-9955
COREY ADRIAN GENTEEL PAC
Physician Assistant (Medical)
101 POCONO CMNS STE 101
STROUDSBURG, PA 18360
Monroe County (570) 872-9955

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 Carlos Garcia's NPI number?

The NPI number for Carlos Garcia is 1518118199. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Carlos Garcia located?

Carlos Garcia practices at 101 Pocono Cmns Ste 101, Stroudsburg, PA 18360. The listed phone number is (570) 872-9955.

What is Carlos Garcia's specialty?

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

Is Carlos Garcia enrolled in Medicare?

Yes. Carlos 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 Carlos Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Garcia reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Stroudsburg, PA), Family Care Centers Inc (East Stroudsburg, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). 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 Carlos Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlos Garcia affiliated with any hospitals?

According to CMS data, Carlos Garcia is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Carlos Garcia was last updated on November 5, 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.