DIANA MEDINA PA-C
NPI 1104873082
Physician Assistant in Santa Fe, NM

Q: What is Diana Medina's NPI number?

The NPI number for Diana Medina is 1104873082. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Diana Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Medina was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment

2025 GALISTEO ST, SANTA FE, NM 87505(505) 995-4901(505) 989-6426 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Diana Medina Pa-c NPPES

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

DIANA MEDINA PA-C (NPI 1104873082) is an individual physician assistant in Santa Fe, New Mexico, licensed in New Mexico (91-PA07) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1104873082

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDIANA MEDINACredential: PA-C

Location Address2025 GALISTEO STSanta Fe, NM 87505-2101

Mailing Address2025 Galisteo StSanta Fe, NM 87505-2101 · (505) 995-4901 · Fax (505) 989-6426

Phone(505) 995-4901

Fax(505) 989-6426

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 27, 2006

Last NPPES UpdateMarch 26, 2013

✔ NPI 1104873082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · 91-PA07

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2025 GALISTEO ST, Santa Fe, NM 87505

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Other Identifiers 4

Other201006707Presbyterian Health Plans

OtherQMYPR0068422Molina

Medicaid98151NM

Medicare PIN343703801NM

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

Diana Medina Pa-c 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 ID7517979560

PECOS Enrollment IDI20141106000122

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 87505 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$51.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$107.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

JACQUELYN BELINSKY CNP

Nurse Practitioner