DR. EKATERINA MEDINA DC
NPI 1275104697
Chiropractor in Jacksonville, FL
About Dr. Ekaterina Medina Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EKATERINA MEDINA DC (NPI 1275104697) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (13546) and active in the NPI registry since July 2021. She is a graduate of Palmer College Chiropractic - Davenport (2021).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Ekaterina Medina Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Ekaterina Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32258
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ekaterina Medina's NPI number?
The NPI number for Ekaterina Medina is 1275104697. It was assigned to this individual provider in the NPPES registry on July 7, 2021.
Where is Ekaterina Medina located?
Ekaterina Medina practices at 14866 Old Saint Augustine Rd Ste 103, Jacksonville, FL 32258. The listed phone number is (904) 348-0039.
What is Ekaterina Medina's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ekaterina Medina enrolled in Medicare?
Yes. Ekaterina 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 Ekaterina Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ekaterina Medina reassigns Medicare benefits to Revolution Chiropractic LLC (Jacksonville, FL). 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 Ekaterina 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 Ekaterina Medina was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Ekaterina Medina, DC · NPI 1275104697
Chiropractor provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 7, 2021.
## Identity
- **NPI:** 1275104697 (Entity type: Individual)
- **Enumerated:** July 7, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 13546 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 14866 OLD SAINT AUGUSTINE RD STE 103, Jacksonville, FL 32258-2611
- **Phone:** (904) 348-0039
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Revolution Chiropractic LLC (NPI 1124576566, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2021
## Record status
- **NPPES last updated:** August 14, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1275104697) · Data from the CMS NPPES public registry.