HEIDI L MEDINA APNP NP
NPI 1578048203
Nurse Practitioner in Milwaukee, WI

Q: What is Heidi Medina's NPI number?

The NPI number for Heidi Medina is 1578048203. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Q: What is Heidi Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Medina was last updated on June 28, 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.

Active since September 28, 2018PECOS EnrolledAccepts Medicare Assignment

803 W LAYTON AVE, MILWAUKEE, WI 53221(414) 939-4411 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Jun 30, 2020, Sep 28, 2018 (3 updates tracked since 2018).

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About Heidi L Medina Apnp Np NPPES

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

HEIDI L MEDINA APNP NP (NPI 1578048203) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (8575) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2011).

NPPES Registry Identity

NPI1578048203

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHEIDI L MEDINACredential: APNP NP

Location Address803 W LAYTON AVEMilwaukee, WI 53221-2426

Mailing Address803 W Layton AveMilwaukee, WI 53221-2426 · (414) 939-4411

Phone(414) 939-4411

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2011

Enumeration DateSeptember 28, 2018

Last NPPES UpdateJune 28, 20223 updates tracked since enumeration

NPPES CertifiedJune 28, 2022

✔ NPI 1578048203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8575

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8573-33 (WI)

803 W LAYTON AVE, Milwaukee, WI 53221

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Other Identifiers 1

Medicaid100084231WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

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

Heidi L Medina Apnp 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.

PECOS PAC ID446597173

PECOS Enrollment IDI20190204000017

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

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 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 6

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

SAFIA KHAN

Nurse Practitioner (Family)