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RAUL MEDINA ROJO MSN, APRN, PMHNP-BC
NPI 1548986987
Nurse Practitioner - Psychiatric/Mental Health in Lutz, FL

Active since October 18, 2022PECOS Enrolled
1539 DALE MABRY HWY STE 102, LUTZ, FL 33548(813) 909-7102 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Raul Medina Rojo Msn, Aprn, Pmhnp-bc NPPES

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

RAUL MEDINA ROJO MSN, APRN, PMHNP-BC (NPI 1548986987) is an individual psychiatric/mental health provider in Lutz, Florida, licensed in Florida (APRN11022432) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548986987
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRAUL MEDINA ROJOCredential: MSN, APRN, PMHNP-BC
Location Address1539 DALE MABRY HWY STE 102Lutz, FL 33548-3008
Mailing Address9032 Sw 142nd Ave Apt 530Miami, FL 33186-8024
Phone(813) 909-7102
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2022
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1548986987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11022432
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11022432 (FL)
1539 DALE MABRY HWY STE 102, Lutz, FL 33548
Open in Google Maps ↗

Other Identifiers 1

MedicaidAPRN11022432FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Medina Rojo Msn, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860833118
PECOS Enrollment IDI20240517000063
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 Reassignments

2

Medicare enrollment records show Raul Medina Rojo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myrtle Ridge Primary Care, P.A
Same address
General Practice
1539 DALE MABRY HWY STE 102
Lutz, FL 33548
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Myrtle Ridge Primary Care PA
  • 4 clinicians in this Medicare group
NPI 1619504354 (813) 909-7102
Truvida Medical Group LLC
219 mi
Family Medicine
9299 SW 152ND ST STE 206
Palmetto Bay, FL 33157
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1265104590 (786) 701-9211

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 33548 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 8

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

TANIABEX LOPEZ GARCIA MSW
Social Worker
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
MYRTLE RIDGE HEALTHCARE CENTER, LLC
Nurse Practitioner (Adult Health)
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
JACK ALTON BERGH MD
Family Medicine
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
GEORGE MARCEL DORTA CHAPIN PA
Physician Assistant
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
MYRTLE RIDGE PRIMARY CARE, P.A
General Practice
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
MYRTLE RIDGE PRIMARY CARE, P.A
Case Management
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
MRS. YUDAISY MOGENA PADRON PA
Physician Assistant
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102
DAYANA FERNANDEZ-PACHECO GORRIN CBHCMS
Case Manager/Care Coordinator
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548
Hillsborough County (813) 909-7102

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 Raul Medina Rojo's NPI number?

The NPI number for Raul Medina Rojo is 1548986987. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Raul Medina Rojo located?

Raul Medina Rojo practices at 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548. The listed phone number is (813) 909-7102.

What is Raul Medina Rojo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Raul Medina Rojo enrolled in Medicare?

Yes. Raul Medina Rojo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raul Medina Rojo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Medina Rojo reassigns Medicare benefits to 2 organizations: Myrtle Ridge Primary Care, P.A (Lutz, FL) and Truvida Medical Group LLC (Palmetto Bay, FL). 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 Raul Medina Rojo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Medina Rojo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Raul Medina Rojo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raul Medina Rojo was last updated on July 12, 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.