1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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 Ambetter Health, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company 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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Melissa Medina reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Digestive Disease Consultants, PLLC
186 mi
Gastroenterology
4100 S SHEPHERD DR
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1013429968 (832) 255-5681
Assoc In Gastroenterology, PC
743 mi
Specialist
2940 N CIRCLE DR
Colorado Springs, CO 80909
  • Reassigned Medicare billing, Colorado enrollment
  • 21 clinicians in this Medicare group
NPI 1184791279 (719) 635-7321
Providence Health & Services - Washington
1,571 mi
Clinical Medical Laboratory
1025 S 2ND AVE
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • 276 clinicians in this Medicare group
NPI 1316433527 (509) 897-5174
St. Charles Health System, Inc.
1,608 mi
Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group
NPI 1023331303 (541) 382-4321
Washington Gastroenterology PLLC
1,773 mi
Clinical Medical Laboratory
33915 1ST WAY S STE 203
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 148 clinicians in this Medicare group
NPI 1245265826 (253) 838-9839
Public Hospital Dist No 1 Skagit
1,786 mi
Rural Health
1190 RIDDLE STREET
Darrington, WA 98241
  • Reassigned Medicare billing, Washington enrollment
  • 463 clinicians in this Medicare group
NPI 1013064575 (360) 436-1055

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 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

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union 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

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
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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
621 CAMDEN ST
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
MRS. VIJAYA BOTLA RDN, LD
Dietitian, Registered
621 CAMDEN ST
SAN ANTONIO, TX 78215
Bexar County (210) 336-4437
CATALINA ICE DNP
Nurse Practitioner (Acute Care)
621 CAMDEN ST
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
DIGESTIVE DISEASES CENTER OF SOUTH TEXAS, PLLC
Internal Medicine (Gastroenterology)
621 CAMDEN ST
SAN ANTONIO, TX 78215
Bexar County (210) 253-3422
ALAMO NUTRITION CONSULTANTS, LLC
Dietitian, Registered
621 CAMDEN ST
SAN ANTONIO, TX 78215
Bexar County (210) 336-4437

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 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.

Where is Melissa Medina located?

Melissa Medina practices at 621 Camden St Ste 202, San Antonio, TX 78215. The listed phone number is (210) 253-3422.

What is Melissa Medina's specialty?

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

Is Melissa Medina enrolled in Medicare?

Yes. Melissa Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Melissa Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Medina reassigns Medicare benefits to 6 organizations: Texas Digestive Disease Consultants, PLLC (Houston, TX), Assoc In Gastroenterology, PC (Colorado Springs, CO), Providence Health & Services - Washington (Walla Walla, WA), St. Charles Health System, Inc. (Bend, OR), Washington Gastroenterology PLLC (Federal Way, WA) and 1 more organization, listed in the Medicare section above. 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 Melissa Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Medina accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 4 other insurers list Melissa 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.

Is Melissa Medina affiliated with any hospitals?

According to CMS data, Melissa Medina is affiliated with St Charles Medical Center - Bend, St Anthony Hospital, Grande Ronde Hospital, Providence St Mary Medical Center and Tacoma General Allenmore Hospital.

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 12 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.