MRS. ROSA MIRNA MEDINA FNP-C
NPI 1689454241
Nurse Practitioner - Family in Charlotte, NC

Q: What is Rosa Medina's NPI number?

The NPI number for Rosa Medina is 1689454241. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Q: What is Rosa Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rosa Medina was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 02, 2023PECOS EnrolledAccepts Medicare Assignment

8401 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262(704) 316-6561 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Jan 10, 2025, Oct 2, 2023 (3 updates tracked since 2023).

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About Mrs. Rosa Mirna Medina Fnp-c NPPES

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

MRS. ROSA MIRNA MEDINA FNP-C (NPI 1689454241) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5021474) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689454241

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ROSA MIRNA MEDINACredential: FNP-C

Location Address8401 MEDICAL PLAZA DR STE 300Charlotte, NC 28262-8702

Mailing Address8401 Medical Plaza Dr Ste 300Charlotte, NC 28262-8702 · (704) 316-6561 · Fax (704) 384-1974

Phone(704) 316-6561

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 2, 2023

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1689454241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5021474

Also ListedRegistered NurseTaxonomy 163W00000X · License 331759 (NC)

8401 MEDICAL PLAZA DR STE 300, Charlotte, NC 28262

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Secondary Practice Locations 2

Location 11000 Wellness WayFort Mill, SC 29715-7315 · Phone (803) 835-7700

Location 210628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Mrs. Rosa Mirna 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 ID8426575267

PECOS Enrollment IDI20250506001653

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 28262 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 10

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

MRS. MAITE MISHEL VELAZQUEZ HERNANDEZ PA-C

Physician Assistant