NICOLE G. MEDINA
NPI 1801548250
Marriage & Family Therapist in Tustin, CA
About Nicole G. Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE G. MEDINA (NPI 1801548250) is an individual marriage & family therapist in Tustin, California, licensed in California (135401) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole G. Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 6 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSTIN, CA 92780
TUSTIN, CA 92780
TUSTIN, CA 92780
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 Nicole Medina's NPI number?
The NPI number for Nicole Medina is 1801548250. It was assigned to this individual provider in the NPPES registry on January 26, 2022.
Where is Nicole Medina located?
Nicole Medina practices at 250 El Camino Real Ste 213, Tustin, CA 92780. The listed phone number is (714) 805-6510.
What is Nicole Medina's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Medina enrolled in Medicare?
Yes. Nicole Medina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Medina reassigns Medicare benefits to Judy Benvenuto Marriage And Family Therapy Inc (Tustin, CA). 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 Nicole 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 Nicole Medina was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Nicole G. Medina · NPI 1801548250
Marriage & Family Therapist provider in Tustin, California. Individual provider, active in the CMS NPPES registry since January 26, 2022.
## Identity
- **NPI:** 1801548250 (Entity type: Individual)
- **Enumerated:** January 26, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 135401 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 EL CAMINO REAL STE 213, Tustin, CA 92780-3656
- **Phone:** (714) 805-6510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Judy Benvenuto Marriage And Family Therapy Inc (NPI 1992319461, Tustin, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801548250) · Data from the CMS NPPES public registry.