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MELISSA MICHELE GARCIA CPNP-PC
NPI 1851732382
Nurse Practitioner - Pediatrics in San Antonio, TX

Active since July 12, 2013PECOS Enrolled
9518 BERTRAM ST, SAN ANTONIO, TX 78251(210) 316-0181 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2026, Mar 13, 2026, Apr 5, 2019 and 2 more (5 updates tracked since 2015).

About Melissa Michele Garcia Cpnp-pc NPPES

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

MELISSA MICHELE GARCIA CPNP-PC (NPI 1851732382) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP122101) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851732382
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA MICHELE GARCIACredential: CPNP-PC
Location Address9518 BERTRAM STSan Antonio, TX 78251-4940
Mailing Address9518 Bertram StSan Antonio, TX 78251-4940 · (210) 316-0181
Phone(210) 316-0181
Sole ProprietorNo
Enumeration DateJuly 12, 2013
Last NPPES UpdateMay 25, 20265 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
✔ NPI 1851732382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP122101
Also ListedRegistered NurseTaxonomy 163W00000X · License 713451 (TX)
9518 BERTRAM ST, San Antonio, TX 78251
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Michele Garcia Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Melissa Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medicine Associates
11 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401
Baylor College Of Medicine
11 mi
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030

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 78251 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Melissa Garcia's NPI number?

The NPI number for Melissa Garcia is 1851732382. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Melissa Garcia located?

Melissa Garcia practices at 9518 Bertram St, San Antonio, TX 78251. The listed phone number is (210) 316-0181.

What is Melissa Garcia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Melissa Garcia enrolled in Medicare?

Yes. Melissa Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Garcia reassigns Medicare benefits to 2 organizations: Community Medicine Associates (San Antonio, TX) and Baylor College Of Medicine (San Antonio, TX). 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 Melissa Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First and Oscar Insurance Company list Melissa 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 Melissa Garcia was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.