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LORRAINE MEDINA R. N., N. P.
NPI 1306856109
Nurse Practitioner in Rochester, NY

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
224 ALEXANDER ST, SUITE 200, ROCHESTER, NY 14607(585) 922-8376(585) 922-8405 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lorraine Medina R. N., N. P. NPPES

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

LORRAINE MEDINA R. N., N. P. (NPI 1306856109) is an individual nurse practitioner in Rochester, New York, licensed in New York (304194) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306856109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORRAINE MEDINACredential: R. N., N. P.
Location Address224 ALEXANDER ST, SUITE 200Rochester, NY 14607-4000
Mailing Address224 Alexander St, Suite 200Rochester, NY 14607-4000 · (585) 922-8376 · Fax (585) 922-8405
Phone(585) 922-8376
Fax(585) 922-8405
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 26, 2011
✔ NPI 1306856109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 304194
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
224 ALEXANDER ST, Rochester, NY 14607
Open in Google Maps ↗

Other Identifiers 1

Medicare PINJ400056379.NY

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

Lorraine Medina R. N., N. P. 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 ID4789779331
PECOS Enrollment IDI20070927000715
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services113 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
77 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers15 claims193 services$18.26 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers15 claims450 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims80 services$5.63 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers39 claims39 services$288.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers105 claims105 services$185.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LEAH NOEL SPENCER LMSW
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 315-4867
MONTIYAH MCMURTY
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-2690
MS. LATOYA NICOLE BROOKS MASTERS SOCIAL WORK
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-2621
KRISTA HODGINS LEVEY N.P.
Nurse Practitioner (Family)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Monroe County (585) 922-8400
ROSEMARY T FOOS LCSW-R
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-7770
DR. ANDREA N TRAINA PHARMD
Pharmacist (Pharmacotherapy)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Monroe County (585) 922-8409
SHANTEL GILES LMHC- D
Counselor (Mental Health)
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-2621
JALEESA CHRYSTAL HAREWOOD MSW
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-7405

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 Lorraine Medina's NPI number?

The NPI number for Lorraine Medina is 1306856109. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Lorraine Medina located?

Lorraine Medina practices at 224 Alexander St Suite 200, Rochester, NY 14607. The listed phone number is (585) 922-8376.

What is Lorraine Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lorraine Medina enrolled in Medicare?

Yes. Lorraine 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.

Is Lorraine Medina affiliated with any hospitals?

According to CMS data, Lorraine Medina is affiliated with Rochester General Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Medina was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.