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WILMAR AUSTERO GARCIA FNP-C
NPI 1740953439
Dermatology in Sioux City, IA

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment
2730 PIERCE ST STE 300, SIOUX CITY, IA 51104(712) 279-3637 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wilmar Austero Garcia Fnp-c NPPES

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

WILMAR AUSTERO GARCIA FNP-C (NPI 1740953439) is an individual dermatology provider in Sioux City, Iowa, licensed in Iowa (A164470) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740953439
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameWILMAR AUSTERO GARCIACredential: FNP-C
Location Address2730 PIERCE ST STE 300Sioux City, IA 51104-3765
Mailing Address359 W Pinehurst TrlDakota Dunes, SD 57049-5234 · (712) 204-9094
Phone(712) 279-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1740953439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IA · A164470
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2730 PIERCE ST STE 300, Sioux City, IA 51104
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Accepted Insurance

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

Wilmar Austero Garcia Fnp-c 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 ID1557752045
PECOS Enrollment IDI20211216001560, I20211216001639
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 Reassignment

Medicare enrollment records show Wilmar Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cnos PC
4.9 mi
Orthopaedic Surgery
575 N SIOUX POINT RD
Dakota Dunes, SD 57049
  • Reassigned Medicare billing, Iowa, Nebraska and South Dakota enrollments
  • 79 clinicians in this Medicare group
NPI 1881604320 (605) 217-2667

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
703 services145 patients
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.
295 services251 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
225 services210 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
209 services185 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
166 services101 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
118 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. THERESA J. SWENSON PA-C
Physician Assistant
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104
Woodbury County (712) 224-8677
MS. TAYLOR JO KING PA-C
Physician Assistant
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104
Woodbury County (712) 234-8725
TRI-STATE SPECIALISTS, LLP
Nurse Practitioner (Family)
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104
Woodbury County (712) 224-8677
TRI-STATE SPECIALISTS, LLP
Orthopaedic Surgery
2730 PIERCE ST STE 300
SIOUX CITY, IA 51104
Woodbury County (712) 224-8677

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 Wilmar Garcia's NPI number?

The NPI number for Wilmar Garcia is 1740953439. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Wilmar Garcia located?

Wilmar Garcia practices at 2730 Pierce St Ste 300, Sioux City, IA 51104. The listed phone number is (712) 279-3637.

What is Wilmar Garcia's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wilmar Garcia enrolled in Medicare?

Yes. Wilmar 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 organization bills Medicare for Wilmar Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilmar Garcia reassigns Medicare benefits to Cnos PC (Dakota Dunes, SD). The 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 Wilmar Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilmar Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 5 other insurers list Wilmar 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 Wilmar Garcia was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.