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MRS. CARLA LYN DE LA GARZA NURSE PRACTITIONER
NPI 1871931832
Nurse Practitioner - Family in Montgomery, AL

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
1722 PINE ST STE 204, MONTGOMERY, AL 36106(334) 293-6825(334) 293-6826 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017, Oct 10, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Carla Lyn De La Garza Nurse Practitioner NPPES

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

MRS. CARLA LYN DE LA GARZA NURSE PRACTITIONER (NPI 1871931832) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-159638) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871931832
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLA LYN DE LA GARZACredential: NURSE PRACTITIONER
Location Address1722 PINE ST STE 204Montgomery, AL 36106-1158
Mailing Address1722 Pine St Ste 204Montgomery, AL 36106-1158 · (334) 293-6825 · Fax (334) 293-6826
Phone(334) 293-6825
Fax(334) 293-6826
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1871931832 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
License✔ Licensed in AL · 1-159638
1722 PINE ST STE 204, Montgomery, AL 36106
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Other Identifiers 1

Medicaid361137801TX

Accepted Insurance

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

Mrs. Carla Lyn De La Garza Nurse Practitioner 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 ID7113078700
PECOS Enrollment IDI20170915001727
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 8

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 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.
228 services166 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.
74 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 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.
49 services49 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.
42 services42 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Advance Care Plan
51%433 patients3/55-star benchmark: 100%
Breast Cancer Screening
30%395 patients2/55-star benchmark: 93%
Cervical Cancer Screening
16%372 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
58%85 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
61%766 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
62%396 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
6%160 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%160 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,100 patients4/55-star benchmark: 100%
e-Prescribing
99%1,576 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
14%406 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,075 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%901 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%653 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 830 patients
Patients screened: 84% · 830 patients
39%109 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%986 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%322 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 422 patients
Patients totalRate: 12% · 433 patients
12%433 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

HANNAH ELLISON CRNP
Nurse Practitioner
1722 PINE ST STE 204
MONTGOMERY, AL 36106
Montgomery County (334) 293-6825
VIJAYA D BOYELLA MD
Internal Medicine (Gastroenterology)
1722 PINE ST STE 204
MONTGOMERY, AL 36106
Montgomery County (334) 293-6825

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 Carla De La Garza's NPI number?

The NPI number for Carla De La Garza is 1871931832. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Carla De La Garza located?

Carla De La Garza practices at 1722 Pine St Ste 204, Montgomery, AL 36106. The listed phone number is (334) 293-6825.

What is Carla De La Garza's specialty?

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

Is Carla De La Garza enrolled in Medicare?

Yes. Carla De La Garza 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.

What insurance does Carla De La Garza accept?

Health plans from Blue Cross and Blue Shield of Alabama list Carla De La Garza 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 Carla De La Garza was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.