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MARLENE ISELA MEDINA-JOHNSON
NPI 1841709284
Nurse Practitioner - Family in Cornwall, NY

Active since September 28, 2017PECOS Enrolled
2570 US HIGHWAY 9W STE 4, CORNWALL, NY 12518(845) 534-1505 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marlene Isela Medina-johnson NPPES

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

MARLENE ISELA MEDINA-JOHNSON (NPI 1841709284) is an individual family provider in Cornwall, New York, licensed in New York (F341123-1) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841709284
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE ISELA MEDINA-JOHNSON
Location Address2570 US HIGHWAY 9W STE 4Cornwall, NY 12518-1359
Mailing Address83 Robinson AveNewburgh, NY 12550-4403
Phone(845) 534-1505
Sole ProprietorNo
Enumeration DateSeptember 28, 2017
✔ NPI 1841709284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F341123-1
2570 US HIGHWAY 9W STE 4, Cornwall, NY 12518
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Isela Medina-johnson 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.

Medicare Billing Reassignment

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

Bon Secours Charity Health System Medical Group, P.C.
21 mi
Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
NPI 1487694345 (845) 987-3906

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 12518 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Marlene Medina-johnson's NPI number?

The NPI number for Marlene Medina-johnson is 1841709284. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Marlene Medina-johnson located?

Marlene Medina-johnson practices at 2570 Us Highway 9W Ste 4, Cornwall, NY 12518. The listed phone number is (845) 534-1505.

What is Marlene Medina-johnson's specialty?

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

Is Marlene Medina-johnson enrolled in Medicare?

Yes. Marlene Medina-johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marlene Medina-johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Medina-johnson reassigns Medicare benefits to Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY). 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 Marlene Medina-johnson'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 Marlene Medina-johnson was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.