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JESSICA MEDINA APRN
NPI 1649048547
Nurse Practitioner - Family in Miami, FL

Active since December 20, 2023PECOS Enrolled
901 NW 17TH ST, MIAMI, FL 33136(786) 400-8368 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jessica Medina Aprn NPPES

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

JESSICA MEDINA APRN (NPI 1649048547) is an individual family provider in Miami, Florida, licensed in Florida (APRN11029772) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1649048547
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MEDINACredential: APRN
Location Address901 NW 17TH STMiami, FL 33136-1135
Mailing Address10204 Sw 21st TerMiami, FL 33165-7466 · (786) 400-8368
Phone(786) 400-8368
Sole ProprietorYes
Enumeration DateDecember 20, 2023
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1649048547 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 · APRN11029772
901 NW 17TH ST, Miami, FL 33136
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Secondary Practice Location 1

Location 1309 SW 145th TerPembroke Pines, FL 33027-1443 · Phone (888) 663-6331 · Fax (415) 252-7176

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 3

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

OPTICAL BOUTIQUE INC.
Eyewear Supplier
901 NW 17TH ST, SUITE P
MIAMI, FL 33136
Miami-Dade County (305) 324-0490
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Pharmacy (Community/Retail Pharmacy)
901 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 585-5890
ANN BATES LEACH HOSPITAL/BASCOM PALMER EYE INSTITUTE
Special Hospital
901 NW 17TH ST, SUITE 10A
MIAMI, FL 33136
Miami-Dade County (305) 326-6000

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 Jessica Medina's NPI number?

The NPI number for Jessica Medina is 1649048547. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Jessica Medina located?

Jessica Medina practices at 901 NW 17th St, Miami, FL 33136. The listed phone number is (786) 400-8368.

What is Jessica Medina's specialty?

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

Is Jessica Medina enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Medina was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.