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AIESHA-AGYEMARAI MEDINA PHD
NPI 1225765688
Psychologist - Clinical in Guanica, PR

Active since August 05, 2022PECOS EnrolledAccepts Medicare Assignment
CARR.324 KM. 2.1 BO. ENSENADA EL BATEY, GUANICA, PR 00653(787) 821-5328 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Aiesha-agyemarai Medina Phd NPPES

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

AIESHA-AGYEMARAI MEDINA PHD (NPI 1225765688) is an individual clinical provider in Guanica, Puerto Rico, licensed in Puerto Rico (5490) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ponce, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225765688
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAIESHA-AGYEMARAI MEDINACredential: PHD
Location AddressCARR.324 KM. 2.1 BO. ENSENADA EL BATEYGuanica, PR 00653
Mailing AddressPo Box 5000-452San German, PR 00683 · (939) 942-1463
Phone(787) 821-5328
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 5, 2022
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1225765688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 5490
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Location 1

Location 1Jardines de Fagot, Calle Manzanilla # I 20Ponce, PR 00716 · Phone (939) 642-1463

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

Aiesha-agyemarai Medina Phd 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 ID5698143592
PECOS Enrollment IDI20221128001112
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 Aiesha-agyemarai Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Migrant Health Center Western Region, Inc.
Federally Qualified Health Center (FQHC)
180 RES CANDELARIA # 186
Mayaguez, PR 00682
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 129 clinicians in this Medicare group
NPI 1104544378 (787) 908-1342

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 00653 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Aiesha-agyemarai Medina's NPI number?

The NPI number for Aiesha-agyemarai Medina is 1225765688. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Aiesha-agyemarai Medina located?

Aiesha-agyemarai Medina practices at Carr.324 Km. 2.1 Bo. Ensenada El Batey, Guanica, PR 00653. The listed phone number is (787) 821-5328.

What is Aiesha-agyemarai Medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Aiesha-agyemarai Medina enrolled in Medicare?

Yes. Aiesha-agyemarai 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 organization bills Medicare for Aiesha-agyemarai Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aiesha-agyemarai Medina reassigns Medicare benefits to Migrant Health Center Western Region, Inc. (Mayaguez, PR). 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 Aiesha-agyemarai 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 Aiesha-agyemarai Medina was last updated on August 9, 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.