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KRISTOPHER ERICK MEDINA
NPI 1124416185
Nurse Practitioner - Family in Paoli, PA

Active since December 29, 2014PECOS EnrolledAccepts Medicare Assignment
21 INDUSTRIAL BLVD, SUITE 205, PAOLI, PA 19301(610) 647-8000(610) 647-6394 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristopher Erick Medina NPPES

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

KRISTOPHER ERICK MEDINA (NPI 1124416185) is an individual family provider in Paoli, Pennsylvania, licensed in Pennsylvania (SP014662) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124416185
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTOPHER ERICK MEDINA
Location Address21 INDUSTRIAL BLVD, SUITE 205Paoli, PA 19301-1610
Mailing Address21 Industrial Blvd, Suite 205Paoli, PA 19301-1610 · (610) 647-8000 · Fax (610) 647-6394
Phone(610) 647-8000
Fax(610) 647-6394
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 29, 2014
Last NPPES UpdateOctober 13, 2015
✔ NPI 1124416185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP014662
21 INDUSTRIAL BLVD, Paoli, PA 19301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kristopher Erick 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 ID7810213303
PECOS Enrollment IDI20150227000217
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.

Areas of Expertise CMS Part B claims 3

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.

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
143 services70 patients
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.
80 services43 patients
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.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 17

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

JAMIE L DILLINGER C.R.N.P.
Nurse Practitioner (Family)
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Chester County (610) 251-0300
PAOLI MEDICAL CONSULTANTS LLC
Internal Medicine
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Chester County (610) 648-9330
MICHAEL EDMOND THERIAULT M.D.
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD
PAOLI, PA 19301
Chester County (610) 647-8000
ANNETTE M SEXTON CRNP
Nurse Practitioner (Acute Care)
21 INDUSTRIAL BLVD, STE 205
PAOLI, PA 19301
Chester County (610) 284-8500
NEURO CARE ASSOCIATES, INC.
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Chester County (610) 647-8000
PHILIP A ADELMAN MD
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Chester County (610) 647-8000
STEPHEN CARY FOX M.D., FACP
Internal Medicine (Hematology & Oncology)
21 INDUSTRIAL BLVD, SUITE 204
PAOLI, PA 19301
Chester County (610) 647-2747
MARILYN RYAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21 INDUSTRIAL BLVD, SUITE #21
PAOLI, PA 19301
Chester County (610) 251-0300

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 Kristopher Medina's NPI number?

The NPI number for Kristopher Medina is 1124416185. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Kristopher Medina located?

Kristopher Medina practices at 21 Industrial Blvd Suite 205, Paoli, PA 19301. The listed phone number is (610) 647-8000.

What is Kristopher Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristopher Medina enrolled in Medicare?

Yes. Kristopher 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.

What insurance does Kristopher Medina accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristopher Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristopher Medina affiliated with any hospitals?

According to CMS data, Kristopher Medina is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Kristopher Medina was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.