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DR. NIKKI ANN REYES MEDINA DO
NPI 1194392589
Obstetrics & Gynecology in Shelton, WA

Active since June 05, 2021PECOS Enrolled
1701 N 13TH ST, SHELTON, WA 98584(360) 426-2653 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Sep 10, 2025, Jun 5, 2021 (3 updates tracked since 2021).

About Dr. Nikki Ann Reyes Medina Do NPPES

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

DR. NIKKI ANN REYES MEDINA DO (NPI 1194392589) is an individual obstetrics & gynecology provider in Shelton, Washington, licensed in Washington (OP70013962) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194392589
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NIKKI ANN REYES MEDINACredential: DO
Location Address1701 N 13TH STShelton, WA 98584-2077
Mailing AddressPo Box 1668Shelton, WA 98584-5001 · (360) 426-2653
Phone(360) 426-2653
Sole ProprietorNo
Enumeration DateJune 5, 2021
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1194392589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · OP70013962
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1701 N 13TH ST, Shelton, WA 98584
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nikki Ann Reyes Medina Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nikki Ann Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital District No 1 Of Mason County
Same address
Family Medicine
1701 N 13TH ST
Shelton, WA 98584
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1760568752 (Washington)
  • 154 clinicians in this Medicare group
NPI 1063658953 (360) 426-2653

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 98584 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

KATIE ALDRICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-1611
DARREN CUEVAS D.O
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. HUI N/A ZHAO MD, PHD
Ophthalmology
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 427-9549
VANESSA LAUREL CRAY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. TREVOR SHANE KWAN D.O.
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
MR. JAMES STAUFFER PA-C
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
ASTIANA MARIE STULTS PA-C
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 432-3298

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 Nikki Ann Medina's NPI number?

The NPI number for Nikki Ann Medina is 1194392589. It was assigned to this individual provider in the NPPES registry on June 5, 2021.

Where is Nikki Ann Medina located?

Nikki Ann Medina practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.

What is Nikki Ann Medina's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nikki Ann Medina enrolled in Medicare?

Yes. Nikki Ann Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nikki Ann Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Ann Medina reassigns Medicare benefits to Public Hospital District No 1 Of Mason County (Shelton, WA). The 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 Nikki Ann Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikki Ann Medina accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nikki Ann 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 Nikki Ann Medina was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.