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MILDRED GARCIA NP
NPI 1619257805
Nurse Practitioner - Family in Phoenix, AZ

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
6425 W MIAMI ST, PHOENIX, AZ 85043(717) 330-2451 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Nov 6, 2020 (2 updates tracked since 2020).

About Mildred Garcia Np NPPES

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

MILDRED GARCIA NP (NPI 1619257805) is an individual family provider in Phoenix, Arizona, licensed in Arizona (247155) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619257805
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILDRED GARCIACredential: NP
Location Address6425 W MIAMI STPhoenix, AZ 85043-1937
Mailing Address6425 W Miami StPhoenix, AZ 85043-1937 · (623) 387-3333
Phone(717) 330-2451
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2011
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1619257805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 247155
Also ListedRegistered NurseTaxonomy 163W00000X · License RN553834 (PA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 247155 (AZ)
6425 W MIAMI ST, Phoenix, AZ 85043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Mildred Garcia Np 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 ID1759795933
PECOS Enrollment IDI20230403002000
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

4

Medicare enrollment records show Mildred Garcia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Corner Health Medical Group P A
7.3 mi
Family
2 N CENTRAL AVE
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 90 clinicians in this Medicare group
NPI 1205689171 (602) 123-4567
Nextcare Arizona I Jv LLC
16 mi
Urgent Care
914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group
NPI 1114798071 (480) 924-8382
Nextcare Arizona LLC
16 mi
Urgent Care
914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 367 clinicians in this Medicare group
NPI 1043371826 (480) 924-8382
Tuba City Regional Health Care Corporation
102 mi
Family Medicine
HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1134382211 (928) 283-2672

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
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.
12 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85043 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Mildred Garcia's NPI number?

The NPI number for Mildred Garcia is 1619257805. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Mildred Garcia located?

Mildred Garcia practices at 6425 W Miami St, Phoenix, AZ 85043. The listed phone number is (717) 330-2451.

What is Mildred Garcia's specialty?

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

Is Mildred Garcia enrolled in Medicare?

Yes. Mildred 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 Mildred Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Garcia reassigns Medicare benefits to 4 organizations: Corner Health Medical Group P A (Phoenix, AZ), Nextcare Arizona I Jv LLC (Tempe, AZ), Nextcare Arizona LLC (Tempe, AZ) and Tuba City Regional Health Care Corporation (Cameron, AZ). 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 Mildred Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mildred Garcia accept?

Health plans from Blue Cross Blue Shield of Arizona list Mildred 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 Mildred Garcia was last updated on March 1, 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.