MRS. MARY ELIZABETH MEDINA APRN
NPI 1700025285
Nurse Practitioner in Reno, NV

Active since February 06, 2009PECOS Enrolled
691 SIERRA ROSE DR STE B, RENO, NV 89511(775) 453-1030(775) 319-1613 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Apr 8, 2025, Mar 29, 2025 and 3 more (6 updates tracked since 2020).

About Mrs. Mary Elizabeth Medina Aprn NPPES

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

MRS. MARY ELIZABETH MEDINA APRN (NPI 1700025285) is an individual nurse practitioner in Reno, Nevada, licensed in Nevada (826254) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carson City.

NPPES Registry Identity

NPI1700025285
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY ELIZABETH MEDINACredential: APRN
Location Address691 SIERRA ROSE DR STE BReno, NV 89511-4010
Mailing Address13776 Swiss LaneTruckee Ca, CA 96161-3416 · (510) 367-5383 · Fax (510) 367-5383
Fax(775) 319-1613
Sole ProprietorNo
Enumeration DateFebruary 6, 2009
Last NPPES UpdateAugust 7, 20256 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1700025285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NV · 826254
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 ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 450481 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 18684 (CA)
691 SIERRA ROSE DR STE B, Reno, NV 89511

Secondary Practice Location 1

Location 1321 W Winnie Ln Ste 104Carson City, NV 89703-2154 · Phone (619) 648-1247

Other Identifiers 2

Other14603059Caqh
Other826254NV · Nv Aprn Lic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth 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 89511 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 4

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

Counselor (Professional)
691 SIERRA ROSE DR STE B
RENO, NV 89511
In Home Supportive Care
691 SIERRA ROSE DR STE B
RENO, NV 89511
Social Worker (Clinical)
691 SIERRA ROSE DR STE B, SUITE 200
RENO, NV 89511
Clinic/Center (Multi-Specialty)
691 SIERRA ROSE DR STE B
RENO, NV 89511

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 Mary Medina's NPI number?

The NPI number for Mary Medina is 1700025285. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Where is Mary Medina located?

Mary Medina practices at 691 Sierra Rose Dr Ste B, Reno, NV 89511. The listed phone number is (775) 453-1030.

What is Mary Medina's specialty?

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

Is Mary Medina enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Medina was last updated on August 7, 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.