KELLY MARIA MEDINA
NPI 1225738545
Physician Assistant - Medical in Aventura, FL

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment
2801 NE 213TH ST STE 1001, AVENTURA, FL 33180(305) 466-9111(305) 466-9127 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Maria Medina NPPES

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

KELLY MARIA MEDINA (NPI 1225738545) is an individual medical provider in Aventura, Florida, licensed in Florida (PA9119158) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225738545
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY MARIA MEDINA
Location Address2801 NE 213TH ST STE 1001Aventura, FL 33180-1265
Mailing Address3450 Sw 124th AveMiramar, FL 33027-2941
Fax(305) 466-9127
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2023
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1225738545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9119158
2801 NE 213TH ST STE 1001, Aventura, FL 33180

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 and accepts Medicare assignment

Kelly Maria 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 ID4284167925
PECOS Enrollment IDI20241101001994
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

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

Physician Assistant
2801 NE 213TH ST STE 1001
AVENTURA, FL 33180

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 Kelly Medina's NPI number?

The NPI number for Kelly Medina is 1225738545. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Kelly Medina located?

Kelly Medina practices at 2801 NE 213th St Ste 1001, Aventura, FL 33180. The listed phone number is (305) 466-9111.

What is Kelly Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Medina enrolled in Medicare?

Yes. Kelly 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 Kelly Medina accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kelly 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 Kelly Medina was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.