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

Q: 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.

Q: What is Carlos Garcia's specialty?

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

Q: 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 21 months 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 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: August 30, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

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.

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.

What insurance does Carlos Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carlos 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.

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 21 months 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.