1. Home
  2. Directory
  3. New Jersey
  4. Union
  5. Nurse Practitioner
  6. NPI Profile

EMERALD MEDINA FNP
NPI 1356092183
Nurse Practitioner - Family in Union, NJ

Active since January 13, 2022PECOS Enrolled
381 CHESTNUT ST STE 4, UNION, NJ 07083(908) 688-8007 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Jan 13, 2022 (2 updates tracked since 2022).

About Emerald Medina Fnp NPPES

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

EMERALD MEDINA FNP (NPI 1356092183) is an individual family provider in Union, New Jersey, licensed in New Jersey (26NJ01254300) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabeth, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356092183
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMERALD MEDINACredential: FNP
Location Address381 CHESTNUT ST STE 4Union, NJ 07083-9417
Mailing Address381 Chestnut St Ste 4Union, NJ 07083-9417 · (908) 688-8007
Phone(908) 688-8007
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 13, 2022
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1356092183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01254300
381 CHESTNUT ST STE 4, Union, NJ 07083
Open in Google Maps ↗

Secondary Practice Location 1

Location 1171 Elmora Ave Fl 3FloorElizabeth, NJ 07202-1169 · Phone (908) 289-2239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Medina Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820564560
PECOS Enrollment IDI20260420001785
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 Emerald Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epilepsy & Neurophysiology Medical Consultants PA
18 mi
Neurology
20 PROSPECT AVE, SUITE 800
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
NPI 1013998830 (201) 996-3205

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 07083 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Emerald Medina's NPI number?

The NPI number for Emerald Medina is 1356092183. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Emerald Medina located?

Emerald Medina practices at 381 Chestnut St Ste 4, Union, NJ 07083. The listed phone number is (908) 688-8007.

What is Emerald Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emerald Medina enrolled in Medicare?

Yes. Emerald Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emerald Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emerald Medina reassigns Medicare benefits to Epilepsy & Neurophysiology Medical Consultants PA (Hackensack, NJ). 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 Emerald 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 Emerald Medina was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.