MELISSA MEDINA NP-C
NPI 1639587439
Nurse Practitioner in San Antonio, TX

Q: What is Melissa Medina's NPI number?

The NPI number for Melissa Medina is 1639587439. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Q: What is Melissa 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 Melissa Medina was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 24, 2014PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

621 CAMDEN ST, STE 202, SAN ANTONIO, TX 78215(210) 253-3422(210) 227-9833 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jan 5, 2017 (2 updates tracked since 2017).

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About Melissa Medina Np-c NPPES

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

MELISSA MEDINA NP-C (NPI 1639587439) is an individual nurse practitioner in San Antonio, Texas, licensed in Washington (AP61639634) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1639587439

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA MEDINACredential: NP-C

Location Address621 CAMDEN ST, STE 202San Antonio, TX 78215-1612

Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159

Phone(210) 253-3422

Fax(210) 227-9833

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 24, 2014

Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1639587439 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 WA · AP61639634

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 AP126071 (TX)

621 CAMDEN ST, San Antonio, TX 78215

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Secondary Practice Location 1

Location 12200 NE Neff Rd Ste 302Bend, OR 97701-4279 · Phone (541) 706-4220

Other Identifiers 3

Medicaid359783301TX

Other8953NTTX · Blue Cross Blue Shield

OtherP01733200TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Imperial Insurance Companies, Inc. and more.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

Melissa Medina Np-c 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 ID8527386028

PECOS Enrollment IDI20250115000077, I20250423002109, I20250813001882

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 5

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.

227 services180 patients

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.

144 services115 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.

27 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381319

Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County

Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500002

Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County

Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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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.

DR. AMIT GOYAL

Internal Medicine (Gastroenterology)

621 CAMDEN ST, SUITE 202
SAN ANTONIO, TX 78215

Bexar County (210) 253-3422

MR. MICHAEL ROY FRANCE PA-C

Physician Assistant