LAZARA MEDINA
NPI 1053916163
Nurse Practitioner in Miami, FL

Q: What is Lazara Medina's NPI number?

The NPI number for Lazara Medina is 1053916163. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Q: What is Lazara Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lazara Medina was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 04, 2020PECOS Enrolled

11211 SW 152ND ST, MIAMI, FL 33157(305) 255-1355(305) 255-2015 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Sep 14, 2022, Dec 4, 2020 (3 updates tracked since 2020).

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About Lazara Medina NPPES

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

LAZARA MEDINA (NPI 1053916163) is an individual nurse practitioner in Miami, Florida, licensed in Florida (11009978) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Margate, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053916163

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAZARA MEDINA

Location Address11211 SW 152ND STMiami, FL 33157-1101

Mailing Address455 Nw 114th Ave Apt 308Miami, FL 33172-4171 · (786) 461-6091

Phone(305) 255-1355

Fax(305) 255-2015

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 4, 2020

Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1053916163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11009978

Definition

(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.

11211 SW 152ND ST, Miami, FL 33157

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Secondary Practice Location 1

Location 1612 S State Road 7Margate, FL 33068-1734 · Phone (305) 266-2929 · Fax (305) 834-7758

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lazara Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961892385

PECOS Enrollment IDI20211129001848

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

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

Claremedica Viking LLC

10 mi

Family Medicine

27455 S DIXIE HWY UNIT 1
Homestead, FL 33032

Reassigned Medicare billing, Florida enrollment
87 clinicians in this Medicare group

NPI 1992520118 (305) 245-3247

South Dade Primary Care LLC

Reassigned Medicare billing, Florida enrollment
47 clinicians in this Medicare group

No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

69 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

63 services39 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.

40 services27 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33157 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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 10

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

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