MS. ALICIA LAJUAN MEDINA CRNP
NPI 1164856043
Nurse Practitioner - Psychiatric/Mental Health in White Marsh, MD
About Ms. Alicia Lajuan Medina Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALICIA LAJUAN MEDINA CRNP (NPI 1164856043) is an individual psychiatric/mental health provider in White Marsh, Maryland, licensed in Maryland (R187630) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Alicia Lajuan Medina Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Alicia Medina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Largo, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
- 25 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, District of Columbia enrollment
- 27 clinicians in this Medicare group
Hagerstown, MD 21740
- Reassigned Medicare billing, Maryland enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21162 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alicia Medina's NPI number?
The NPI number for Alicia Medina is 1164856043. It was assigned to this individual provider in the NPPES registry on August 27, 2013.
Where is Alicia Medina located?
Alicia Medina practices at 5609 Honeygo Ridge Ct, White Marsh, MD 21162. The listed phone number is (410) 908-8861.
What is Alicia Medina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alicia Medina enrolled in Medicare?
Yes. Alicia 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.
Which organizations bill Medicare for Alicia Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Medina reassigns Medicare benefits to 3 organizations: Qci Behavioral Health Consulting Group, LLC (Largo, MD), Advanced Behavioral Health, Inc (Frederick, MD) and Qualitycare Internet, LLP (Hagerstown, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alicia Medina was last updated on August 27, 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.
# Ms. Alicia Lajuan Medina, CRNP · NPI 1164856043
Psychiatric/Mental Health physician in White Marsh, Maryland. Individual provider, active in the CMS NPPES registry since August 27, 2013.
## Identity
- **NPI:** 1164856043 (Entity type: Individual)
- **Enumerated:** August 27, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R187630 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5609 HONEYGO RIDGE CT, White Marsh, MD 21162-3406
- **Phone:** (410) 908-8861
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Qci Behavioral Health Consulting Group, LLC (NPI 1154598308, Largo, MD); Advanced Behavioral Health, Inc (NPI 1154799559, Frederick, MD); Qualitycare Internet, LLP (NPI 1255508404, Hagerstown, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 27, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1164856043) · Data from the CMS NPPES public registry.