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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-1000
Location 21000 Wellness WayFort Mill, SC 29715-7315 · Phone (803) 835-7700

Accepted Insurance

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Rosa Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charlotte Community Health Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
8401 MEDICAL PLAZA DR STE 300
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
NPI 1528363868 (704) 316-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. NGA TRAN MD
Pediatrics
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6574
DR. MICHELLE HEWLETT WYNN MD
Pediatrics
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. HILARY L CANIPE MD
Family Medicine
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
LASHANDRA NICOLE DUNCAN DNP, FNP-BC,PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
RACHAEL VAUGHN PENNELL MSW, LCSW-A
Social Worker (Clinical)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
DR. JONATHAN WILLIAM BUTLER MD, M.ED.
Family Medicine (Addiction Medicine)
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
8401 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 316-6561

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 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.

Where is Rosa Medina located?

Rosa Medina practices at 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262. The listed phone number is (704) 316-6561.

What is Rosa Medina's specialty?

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

Is Rosa Medina enrolled in Medicare?

Yes. Rosa 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 organization bills Medicare for Rosa Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Medina reassigns Medicare benefits to Charlotte Community Health Clinic, Inc. (Charlotte, NC). The 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 Rosa Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosa Medina accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Rosa 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.

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 11 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.