1. Home
  2. Directory
  3. California
  4. Pasadena
  5. Nurse Practitioner
  6. NPI Profile

CAMILLE IVY MEDINA
NPI 1033901582
Nurse Practitioner - Psychiatric/Mental Health in Pasadena, CA

Active since May 20, 2025PECOS EnrolledAccepts Medicare Assignment
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5000 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camille Ivy Medina NPPES

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

CAMILLE IVY MEDINA (NPI 1033901582) is an individual psychiatric/mental health provider in Pasadena, California, licensed in California (95034074) and active in the NPI registry since May 2025. The provider is enrolled in Medicare PECOS and is a graduate of National University Of Arts And Sciences, Medical Department (2024).

NPPES Registry Identity

NPI1033901582
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameCAMILLE IVY MEDINA
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address100 W California BlvdPasadena, CA 91105-3010
Phone(626) 397-5000
Sole ProprietorYes
Medical School CMSNational University Of Arts And Sciences, Medical DepartmentGraduated 2024
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1033901582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95034074
100 W CALIFORNIA BLVD, Pasadena, CA 91105
Open in Google Maps ↗

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

Camille Ivy Medina 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 ID6608372867
PECOS Enrollment IDI20251006002055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

SARAH STEPHENS NP
Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-8300
AUSTIN WU MD
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (310) 267-8654
ROMELIA JALEH BATANG GARCIA RNFA
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5012
DR. RICHARD A. REED MEDICAL DOCTOR
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5139
DR. HENRY LEVENSON M.D.
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 256-6010
PASADENA HOSPITAL ASSOCIATION, LTD.
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5555
ANIL K HANUMAN D,O.
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-8300
DR. NICHOLAS WITHROW GRECO M.D.
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5112

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 Camille Medina's NPI number?

The NPI number for Camille Medina is 1033901582. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Camille Medina located?

Camille Medina practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 397-5000.

What is Camille Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Camille Medina enrolled in Medicare?

Yes. Camille Medina 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.

When was this NPI record last updated?

The NPPES record for Camille Medina was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.