MAYLA GARCIA NP
NPI 1295285575
Nurse Practitioner in Baytown, TX

NPI Status: Active since October 10, 2016

Contact Information

4201 GARTH RD
SUITE 208
BAYTOWN, TX
ZIP 77521
Phone: (832) 556-6535

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled

About MAYLA GARCIA

This page provides the complete NPI Profile along with additional information for Mayla Garcia, a provider established in Baytown, Texas with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1295285575 assigned on October 2016. The practitioner's primary taxonomy code is 363L00000X with license number AP131826 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1295285575
Provider Name
MAYLA GARCIA NP
Gender
Female
Entity Type
Individual
Location Address
4201 GARTH RD SUITE 208 BAYTOWN, TX 77521
Location Phone
(832) 556-6535
Mailing Address
4201 GARTH RD SUITE 208 BAYTOWN, TX 77521
Mailing Phone
(832) 556-6535
Is Sole Proprietor?
No
Enumeration Date
10-10-2016
Last Update Date
04-17-2017
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A nurse practitioner (NP) like Mayla Garcia is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP131826
License State
TX
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8093MAOTHER (01)TXBCBS
543553ZSWDMEDICARE PIN (08)TX 
368078701MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

Mayla Garcia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    6 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    5 DME suppliers used 12 Medicare Claims 33 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    7 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    5 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    7 DME suppliers used 18 Medicare Claims 108 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    3 DME suppliers used 29 Medicare Claims 29 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77521 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.4
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $22.6
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.71
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $25.67
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295285575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221854810514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 4 + 8 + 1 + 0 + 5 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1295285575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578555488THE WOMENS HEALTH CLINIC, INC.
Organization
Obstetrics & Gynecology (Obstetrics)4201 GARTH RD # 303
BAYTOWN, TX 77521
(281) 428-1793
1346283298DR. JEFFREY C TANENBAUM DPM
Individual
Podiatrist (Foot & Ankle Surgery)4201 GARTH RD 309
BAYTOWN, TX 77521
(281) 829-5932
1447360672 LYLA S CHALLA MD
Individual
Pediatrics4201 GARTH RD SUITE 305
BAYTOWN, TX 77521
(281) 427-0765
1891825469ROBERT E BEESON MD PA
Organization
Anesthesiology4201 GARTH RD SUITE 212
BAYTOWN, TX 77521
(281) 420-9355
1922138692DR. JESSE BECK KIRKPATRICK D.D.S.
Individual
Dentist (General Practice)4201 GARTH RD SUITE 311
BAYTOWN, TX 77521
(281) 427-5305
1346400496M SALEM MUAYAD MD PA
Organization
Clinic/Center (Health Service)4201 GARTH RD SUITE 313
BAYTOWN, TX 77521
(281) 420-9500
1508026162MR. JAMES R. BEGGS LCSW
Individual
Social Worker (Clinical)4201 GARTH RD SUITE 208
BAYTOWN, TX 77521
(281) 837-6463
1306086145MS. DIONYSIA MARIE SWETT PA-C
Individual
Physician Assistant (Medical)4201 GARTH RD SUITE # 212
BAYTOWN, TX 77521
(281) 837-6463
1225366727LUDIE HERNANDEZ-BUCK MDPA
Organization
Internal Medicine (Gastroenterology)4201 GARTH RD SUITE 119
BAYTOWN, TX 77521
(281) 422-4792
1528368156ERIC S. ROTHENBERG, M.D., P.A
Organization
Clinic/Center (Medical Specialty)4201 GARTH RD SUITE 111
BAYTOWN, TX 77521
(281) 422-5547
1922379536EAST HOUSTON CARDIOVASCULAR ASSOCIATES PA
Organization
Internal Medicine (Cardiovascular Disease)4201 GARTH RD SUITE 318
BAYTOWN, TX 77521
(713) 202-8094
1548487572MALLADI S REDDY, MD, FACC, PA
Organization
Clinic/Center4201 GARTH RD SUITE 315
BAYTOWN, TX 77521
(281) 420-6000
1730399668BOUTROS P. KAHLA, M.D., P.A.
Organization
Surgery4201 GARTH RD STE 313
BAYTOWN, TX 77521
(281) 428-4001
1083936124MRS. RENEE KAROW PACE R.N.,F.N.P.
Individual
Nurse Practitioner (Family)4201 GARTH RD 212
BAYTOWN, TX 77521
(281) 837-6463
1578762381SOUTHWEST ORTHOPEDIC GROUP, LLP
Organization
Durable Medical Equipment & Medical Supplies4201 GARTH RD SUITE 111
BAYTOWN, TX 77521
(281) 428-1001
1710329966DANNY WONG M.D. PA
Organization
Otolaryngology4201 GARTH RD STE 321
BAYTOWN, TX 77521
(281) 427-2747
1649347261DR. SUSAN L BALDWIN M.D.
Individual
Obstetrics & Gynecology4201 GARTH RD SUITE 207
BAYTOWN, TX 77521
(281) 837-6962
1811985328 MARK E FRANKLIN M.D.
Individual
Orthopaedic Surgery4201 GARTH RD SUITE 107
BAYTOWN, TX 77521
(281) 427-7400
1255329686DR. JAMES G PYLE
Individual
Orthopaedic Surgery4201 GARTH RD SUITE 107
BAYTOWN, TX 77521
(281) 427-4400
1285616664 JENNY ILENE HAGGARD ACNP,FNP
Individual
Nurse Practitioner (Acute Care)4201 GARTH RD EMERGENCY ROOM
BAYTOWN, TX 77521
(281) 420-8888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295285575, enumerated in the NPI registry as an "individual" on October 10, 2016

The provider is located at 4201 Garth Rd Suite 208 Baytown, Tx 77521 and the phone number is (832) 556-6535

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.4 with an average copayment of $22.6 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on October 10, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.