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BETH ANN MEDINA
NPI 1235264482
Counselor - Mental Health in Jacksonville, FL

Active since February 21, 2007Opted out of Medicare · through Apr 1, 2028
13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL 32258(904) 268-1696(844) 864-3674 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth Ann Medina NPPES

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

BETH ANN MEDINA (NPI 1235264482) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH6748) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1235264482
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETH ANN MEDINA
Location Address13241 BARTRAM PARK BLVD UNIT 301Jacksonville, FL 32258
Mailing Address13241 Bartram Park Blvd Unit 301Jacksonville, FL 32258-5236 · (904) 268-1696
Phone(904) 268-1696
Fax(844) 864-3674
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 30, 2018
✔ NPI 1235264482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH6748
13241 BARTRAM PARK BLVD UNIT 301, Jacksonville, FL 32258
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Beth Ann Medina has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

JACKSONVILLE NEPHROLOGY PA
Internal Medicine (Nephrology)
13241 BARTRAM PARK BLVD UNIT 301
JACKSONVILLE, FL 32258
Duval County (904) 260-9898
DR. SANDEEP MUNJAL MD
Internal Medicine (Nephrology)
13241 BARTRAM PARK BLVD UNIT 301
JACKSONVILLE, FL 32258
Duval County (904) 260-9898

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 Beth Medina's NPI number?

The NPI number for Beth Medina is 1235264482. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Beth Medina located?

Beth Medina practices at 13241 Bartram Park Blvd Unit 301, Jacksonville, FL 32258. The listed phone number is (904) 268-1696.

What is Beth Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Beth Medina enrolled in Medicare?

No. Beth Medina has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beth Medina was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.