BENJAMIN MICHAEL GARCIA FNP-C
NPI 1851093801
Nurse Practitioner - Adult Health in Aurora, CO

Q: What is Benjamin Garcia's NPI number?

The NPI number for Benjamin Garcia is 1851093801. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Benjamin Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Garcia was last updated on July 6, 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.

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment

1635 AURORA CT, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Mar 21, 2023 (2 updates tracked since 2023).

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About Benjamin Michael Garcia Fnp-c NPPES

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

BENJAMIN MICHAEL GARCIA FNP-C (NPI 1851093801) is an individual adult health provider in Aurora, Colorado, licensed in Colorado (998466) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851093801

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameBENJAMIN MICHAEL GARCIACredential: FNP-C

Location Address1635 AURORA CTAurora, CO 80045-2541

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 21, 2023

Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1851093801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CO · 998466

1635 AURORA CT, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Benjamin Michael 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 ID941668560

PECOS Enrollment IDI20230614000898

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

38 services26 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.

12 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 20

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

CATHERINE ELIZABETH CALLINAN MD

Obstetrics & Gynecology