JOSE L MEDINA SR. ARNP F03240384
NPI 1619735701
Nurse Practitioner - Family in The Villages, FL

Q: What is Jose Medina's NPI number?

The NPI number for Jose Medina is 1619735701. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Q: What is Jose Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Medina was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 March 12, 2024PECOS EnrolledAccepts Medicare Assignment

1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 259-2159(352) 259-5731 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jose L Medina Sr. Arnp F03240384 NPPES

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

JOSE L MEDINA SR. ARNP F03240384 (NPI 1619735701) is an individual family provider in The Villages, Florida, licensed in Florida (F0320384) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619735701

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSE L MEDINA SR.Credential: ARNP F03240384

Location Address1580 SANTA BARBARA BLVDThe Villages, FL 32159-6827

Mailing Address1580 Santa Barbara BlvdThe Villages, FL 32159-6827 · (352) 259-2159 · Fax (352) 259-5731

Phone(352) 259-2159

Fax(352) 259-5731

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 12, 2024

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1619735701 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 FL · F0320384

1580 SANTA BARBARA BLVD, The Villages, FL 32159

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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 and accepts Medicare assignment

Jose L Medina Sr. Arnp F03240384 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 ID2860834892

PECOS Enrollment IDI20240522002860

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

Medicare enrollment records show Jose Medina reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Medical Associates All Florida, LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD, SUITE C
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
92 clinicians in this Medicare group

NPI 1093829442 (352) 259-2159

Premier Medical Associates Of Florida Healthcare, PA

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
99 clinicians in this Medicare group

NPI 1023612827 (352) 259-2159

Premier Medical Associates Of Florida LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
70 clinicians in this Medicare group

NPI 1366046179 (352) 259-2159

Premier Specialty Care LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
49 clinicians in this Medicare group

NPI 1386404127 (352) 259-2159

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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 20

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

DR. BROOKE E ALEXANDER DO

Family Medicine