1. Home
  2. Directory
  3. Alabama
  4. Pelham
  5. Nurse Practitioner
  6. NPI Profile

ALEXIS MEDINA FNP-C
NPI 1679094957
Nurse Practitioner - Family in Pelham, AL

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
130 STONEHAVEN DR, PELHAM, AL 35124(205) 835-2288 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Jul 21, 2022, Jun 27, 2017 (3 updates tracked since 2017).

About Alexis Medina Fnp-c NPPES

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

ALEXIS MEDINA FNP-C (NPI 1679094957) is an individual family provider in Pelham, Alabama, licensed in Alabama (1-131072) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679094957
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXIS MEDINACredential: FNP-C
Location Address130 STONEHAVEN DRPelham, AL 35124-3908
Mailing Address130 Stonehaven DrPelham, AL 35124-3908 · (205) 835-2288
Phone(205) 835-2288
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 27, 2017
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1679094957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-131072✔ Licensed in GA · NP002015
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 1-131072 (AL), NP002015 (GA)
130 STONEHAVEN DR, Pelham, AL 35124
Open in Google Maps ↗

Secondary Practice Location 1

Location 15001 Peachtree BlvdAtlanta, GA 30341-2798 · Phone (770) 458-8929

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

Alexis Medina Fnp-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 ID9537427885
PECOS Enrollment IDI20240628000113
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 35124 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

URGENT CARE ON WHEELS LLC
Nurse Practitioner (Family)
130 STONEHAVEN DR
PELHAM, AL 35124
Shelby County (205) 834-4954

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 Alexis Medina's NPI number?

The NPI number for Alexis Medina is 1679094957. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Alexis Medina located?

Alexis Medina practices at 130 Stonehaven Dr, Pelham, AL 35124. The listed phone number is (205) 835-2288.

What is Alexis Medina's specialty?

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

Is Alexis Medina enrolled in Medicare?

Yes. Alexis 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.

When was this NPI record last updated?

The NPPES record for Alexis Medina was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.