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MS. IVANA MEDINA APRN
NPI 1629803762
Nurse Practitioner in Winter Park, FL

Active since September 06, 2024PECOS Enrolled
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789(407) 845-8356(407) 845-8357 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Ivana Medina Aprn NPPES

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

MS. IVANA MEDINA APRN (NPI 1629803762) is an individual nurse practitioner in Winter Park, Florida, licensed in Florida (APRN11035051) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1629803762
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. IVANA MEDINACredential: APRN
Location Address1605 W FAIRBANKS AVEWinter Park, FL 32789-4603
Mailing Address2252 Leland LnCasselberry, FL 32707-5393 · (516) 643-2856
Phone(407) 845-8356
Fax(407) 845-8357
Sole ProprietorNo
Enumeration DateSeptember 6, 2024
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1629803762 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 FL · APRN11035051
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 ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X · License 11035051 (FL)
1605 W FAIRBANKS AVE, Winter Park, FL 32789
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Secondary Practice Location 1

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-5600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ivana Medina Aprn 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 Reassignment

Medicare enrollment records show Ivana Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
3.2 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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 32789 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.

MRS. SHAMIM A HASAN PA-C
Physician Assistant
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 845-8356
ANESTHESIOLOGISTS OF GREATER ORLANDO INC
Anesthesiology
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (877) 328-1119
GEORGE MANNY ABREUT DO
Internal Medicine (Cardiovascular Disease)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 845-8356
DR. ALEXANDRA LACKEY MD
Internal Medicine (Interventional Cardiology)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 845-8356
LUCINE HUMES PA-C
Physician Assistant
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 845-8356
DR. PAUL D. SAWIN M.D.
Neurological Surgery
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 975-0200
MRS. RACHEL GAINSFORD ARNP
Nurse Practitioner
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 975-0200
LINDON GEORGE GRAY APRN
Nurse Practitioner (Gerontology)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Orange County (407) 845-8356

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 Ivana Medina's NPI number?

The NPI number for Ivana Medina is 1629803762. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Ivana Medina located?

Ivana Medina practices at 1605 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (407) 845-8356.

What is Ivana Medina's specialty?

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

Is Ivana Medina enrolled in Medicare?

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

Which organization bills Medicare for Ivana Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivana Medina reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The 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 Ivana 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 Ivana Medina was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.