JOHANNA BEATRIZ MEDINA NP
NPI 1366189540
Transplant Surgery in Manhasset, NY
About Johanna Beatriz Medina Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA BEATRIZ MEDINA NP (NPI 1366189540) is an individual transplant surgery provider in Manhasset, New York, licensed in New York (349364) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (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
Johanna Beatriz Medina Np 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 Reassignments
2Medicare enrollment records show Johanna Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Mineola, NY 11501
- Reassigned Medicare billing, New York enrollment
- 5 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.
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.
MANHASSET, NY 11030
MANHASSET, NY 11030
MANHASSET, NY 11030
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 Johanna Medina's NPI number?
The NPI number for Johanna Medina is 1366189540. It was assigned to this individual provider in the NPPES registry on May 18, 2022.
Where is Johanna Medina located?
Johanna Medina practices at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 472-5800.
What is Johanna Medina's specialty?
The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.
Is Johanna Medina enrolled in Medicare?
Yes. Johanna 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 organizations bill Medicare for Johanna Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Medina reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Optimum Health And Wellness (Mineola, NY). Each 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 Johanna 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 Johanna Medina was last updated on May 18, 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.
# Johanna Beatriz Medina, NP · NPI 1366189540
Transplant Surgery physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since May 18, 2022.
## Identity
- **NPI:** 1366189540 (Entity type: Individual)
- **Enumerated:** May 18, 2022
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **State license:** 349364 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 COMMUNITY DR, Manhasset, NY 11030-3815
- **Phone:** (516) 472-5800 · **Fax:** (516) 472-5805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Optimum Health And Wellness (NPI 1427614734, Mineola, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366189540) · Data from the CMS NPPES public registry.