MS. LISSETTE M MEDINA PA-C
NPI 1154696011
Physician Assistant - Surgical in Miami, FL
About Ms. Lissette M Medina Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISSETTE M MEDINA PA-C (NPI 1154696011) is an individual surgical provider in Miami, Florida, licensed in Florida (PA9105170) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Lissette M Medina Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
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 Lissette Medina's NPI number?
The NPI number for Lissette Medina is 1154696011. It was assigned to this individual provider in the NPPES registry on March 12, 2012.
Where is Lissette Medina located?
Lissette Medina practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 662-8366.
What is Lissette Medina's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Lissette Medina enrolled in Medicare?
Yes. Lissette Medina is registered in the Medicare PECOS enrollment system.
What insurance does Lissette Medina accept?
Health plans from AmeriHealth Caritas Next and AvMed list Lissette 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.
When was this NPI record last updated?
The NPPES record for Lissette Medina was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Lissette M Medina, PA-C · NPI 1154696011
Surgical physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 12, 2012.
## Identity
- **NPI:** 1154696011 (Entity type: Individual)
- **Enumerated:** March 12, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA9105170 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3100 SW 62ND AVE, Miami, FL 33155-3009
- **Phone:** (305) 662-8366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1154696011) · Data from the CMS NPPES public registry.