ANDREA HERNANDEZ MEDINA
NPI 1780548917
Nurse Practitioner - Acute Care in Flagstaff, AZ
About Andrea Hernandez Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA HERNANDEZ MEDINA (NPI 1780548917) is an individual acute care provider in Flagstaff, Arizona, licensed in Arizona (258776) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Hernandez Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Hernandez Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flagstaff, AZ 86001
- Reassigned Medicare billing, Arizona enrollment
- 552 clinicians in this Medicare group
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 86001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
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 Andrea Hernandez Medina's NPI number?
The NPI number for Andrea Hernandez Medina is 1780548917. It was assigned to this individual provider in the NPPES registry on December 11, 2025.
Where is Andrea Hernandez Medina located?
Andrea Hernandez Medina practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 310-9400.
What is Andrea Hernandez Medina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Andrea Hernandez Medina enrolled in Medicare?
Yes. Andrea Hernandez Medina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Hernandez Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hernandez Medina reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). 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 Andrea Hernandez Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Hernandez Medina was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrea Hernandez Medina · NPI 1780548917
Acute Care physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since December 11, 2025.
## Identity
- **NPI:** 1780548917 (Entity type: Individual)
- **Enumerated:** December 11, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 258776 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N BEAVER ST, Flagstaff, AZ 86001-3118
- **Phone:** (928) 310-9400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northern Arizona Healthcare Corporation (NPI 1669914552, Flagstaff, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780548917) · Data from the CMS NPPES public registry.