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MS. LISA L MEDINA NP
NPI 1629646179
Nurse Practitioner in Wheat Ridge, CO

Active since June 11, 2021PECOS Enrolled
94.45/100
CMS Quality Rating
4251 KIPLING ST UNIT 220, WHEAT RIDGE, CO 80033(303) 424-0559(303) 424-0205 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Jun 11, 2021 (2 updates tracked since 2021).

About Ms. Lisa L Medina Np NPPES

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

MS. LISA L MEDINA NP (NPI 1629646179) is an individual nurse practitioner in Wheat Ridge, Colorado, licensed in Colorado (APN.0996552-NP) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629646179
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. LISA L MEDINACredential: NP
Location Address4251 KIPLING ST UNIT 220Wheat Ridge, CO 80033-2897
Mailing Address4251 Kipling St Unit 220Wheat Ridge, CO 80033-2897 · (303) 424-0559
Phone(303) 424-0559
Fax(303) 424-0205
Sole ProprietorNo
Enumeration DateJune 11, 2021
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1629646179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · APN.0996552-NP
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.
4251 KIPLING ST UNIT 220, Wheat Ridge, CO 80033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa L Medina Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisa Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Medical Group Denver, LLC
0.5 mi
Occupational Medicine
98301 I-70 FRONTAGE ROAD SOUTH
Wheat Ridge, CO 80033
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
NPI 1184238867 (303) 467-4121
Mile High Urgent Care PLLC
15 mi
Urgent Care
9985 W REMINGTON PL
Littleton, CO 80128
  • Reassigned Medicare billing, Colorado enrollment
  • 25 clinicians in this Medicare group
NPI 1679163851 (720) 818-8010

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80033 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89
Promoting Interoperability92.91
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

FRONTIER NEUROLOGY AND NEUROMUSCULAR CLINIC PLLC
Psychiatry & Neurology (Neurology)
4251 KIPLING ST UNIT 220
WHEAT RIDGE, CO 80033
Jefferson County (303) 424-0559
DR. KATALIN J POCSINE M.D.
Psychiatry & Neurology (Neurology)
4251 KIPLING ST UNIT 220
WHEAT RIDGE, CO 80033
Jefferson County (303) 424-0559

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 Lisa Medina's NPI number?

The NPI number for Lisa Medina is 1629646179. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Lisa Medina located?

Lisa Medina practices at 4251 Kipling St Unit 220, Wheat Ridge, CO 80033. The listed phone number is (303) 424-0559.

What is Lisa Medina's specialty?

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

Is Lisa Medina enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Medina reassigns Medicare benefits to 2 organizations: Intermountain Medical Group Denver, LLC (Wheat Ridge, CO) and Mile High Urgent Care PLLC (Littleton, CO). 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 Lisa Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Medina accept?

Health plans from Select Health list Lisa Medina 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 Lisa Medina was last updated on April 27, 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.