DEBORAH J. GARCIA CFNP
NPI 1568538759
Nurse Practitioner - Family in Albuquerque, NM

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
85.27/100
CMS Quality Rating
4901 LANG AVE NE, ALBUQUERQUE, NM 87109(505) 842-8171(505) 246-0684 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deborah J. Garcia Cfnp NPPES

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

DEBORAH J. GARCIA CFNP (NPI 1568538759) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (R31966) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568538759
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBORAH J. GARCIACredential: CFNP
Location Address4901 LANG AVE NEAlbuquerque, NM 87109-4397
Mailing Address933 Bradbury Dr. Se, Suite 1120Albuquerque, NM 87106 · (505) 272-5911 · Fax (505) 272-5821
Fax(505) 246-0684
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1568538759 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
Licenses✔ Licensed in NM · R31966✔ Licensed in NM · CNP00661
4901 LANG AVE NE, Albuquerque, NM 87109

Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2745 · Phone (505) 272-0011 · Fax (505) 272-5821

Other Identifiers 1

Medicaid00825531NM

Accepted 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

Deborah J. Garcia Cfnp 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 ID244333177
PECOS Enrollment IDI20070314000496
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 Deborah Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
4901 LANG AVE NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 106 clinicians in this Medicare group
Gastroenterology
8100 WYOMING BLVD NE STE M4-701
Albuquerque, NM 87113
  • Reassigned Medicare billing, New Mexico enrollment
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

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 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.74
Promoting Interoperability94
Improvement Activities40
Cost76.18

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.

Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Rheumatology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Hematology & Oncology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Pharmacist
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Physician Assistant
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Clinic/Center (Ambulatory Surgical)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109

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 Deborah Garcia's NPI number?

The NPI number for Deborah Garcia is 1568538759. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Deborah Garcia located?

Deborah Garcia practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.

What is Deborah Garcia's specialty?

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

Is Deborah Garcia enrolled in Medicare?

Yes. Deborah 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 Deborah Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Garcia reassigns Medicare benefits to 3 organizations: New Mexico Oncology Hematology Consultants, Ltd. (Albuquerque, NM), Comprehensive Gastrostomy Tube Care (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). 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 Deborah Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Garcia accept?

Health plans from Blue Cross Blue Shield of Arizona list Deborah 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 Deborah Garcia was last updated on February 17, 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.