RIANE JACEY MEDEL PA-C
NPI 1205581162
Physician Assistant - Surgical in Oceanside, NY

Q: What is Riane Jacey Medel's NPI number?

The NPI number for Riane Jacey Medel is 1205581162. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Q: What is Riane Jacey Medel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Riane Jacey Medel was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 18, 2022PECOS Enrolled

1 HEALTHY WAY, OCEANSIDE, NY 11572(516) 632-3000 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 20, 2022, Feb 18, 2022 (2 updates tracked since 2022).

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About Riane Jacey Medel Pa-c NPPES

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

RIANE JACEY MEDEL PA-C (NPI 1205581162) is an individual surgical provider in Oceanside, New York and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205581162

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameRIANE JACEY MEDELCredential: PA-C

Location Address1 HEALTHY WAYOceanside, NY 11572-1551

Mailing Address1 Healthy WayOceanside, NY 11572-1551

Phone(516) 632-3000

Sole ProprietorYes

Enumeration DateFebruary 18, 2022

Last NPPES UpdateApril 20, 20222 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1205581162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 HEALTHY WAY, Oceanside, NY 11572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riane Jacey Medel Pa-c 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.

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.

DR. BENJAMIN WALLBRUNN FELDER DO

Internal Medicine