OLAF RUSSELL GARCIA – Gerontology Nurse Practitioner, NPI 1073178703

OLAF RUSSELL GARCIA is a healthcare provider. based in Round rock, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP139504 (TX). The NPI Number for OLAF RUSSELL GARCIA is 1073178703

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
OLAF RUSSELL GARCIA
NPI
1073178703
Phone
(512) 840-1158
Address
4495 WANDERING VINE TRL
Enumeration Date
8 May 2019
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7205074779
Graduation Year
2022 (4 years ago)
PAC ID
2860729506
Group Practice PAC ID
9032459656
Professional Enrollment ID
I20220915001195
Address ID
CO800118735AU14221AVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OLAF RUSSELL GARCIA

  • 4495 WANDERING VINE TRL

    ROUND ROCK, TX 786651266

    Phone: (512) 840-1158

    Fax: (512) 777-5974

    Type: Location

  • 4495 Wandering Vine Trl

    Round Rock, TX 786651266

    Phone: (512) 840-1158

    Fax: (512) 777-5974

    Type: Location

  • 14221 E 4th Ave Ste 2-126

    Aurora, CO 800118735

    Phone: (720) 507-4779

    Fax: (833) 941-5047

    Type: Location

  • 108 TWIN CREEK CIR

    DRIPPING SPRINGS, TX 786203021

    Phone: (310) 600-2751

    Type: Mailing

  • 2675 S ABILENE ST STE 100

    AURORA, CO 800142363

    Phone: (720) 507-4779

    Fax: (833) 941-5047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190805000103INurse PractitionerTXTBD
I20220915001195INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9523$0
90833Psychotherapy with evaluation and management visit, 30 minutes8520$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032459656View full group profile
NameSpecialtyState
-OK
Mental Health CounselorCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerVA
-CO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Does OLAF RUSSELL GARCIA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OLAF RUSSELL GARCIA uses 1073178703.
Is OLAF RUSSELL GARCIA still practicing?
OLAF RUSSELL GARCIA is currently listed as active in the public NPI registry.
What is OLAF RUSSELL GARCIA best known for clinically?
Directory data describes OLAF RUSSELL GARCIA with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect OLAF RUSSELL GARCIA on a map?
Expect Round Rock, Texas as a primary anchor for OLAF RUSSELL GARCIA unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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