AUSTRE BERTA MEDINA
NPI 1922938083
Nurse Practitioner - Pediatrics in Portage, IN

Q: What is Austre Medina's NPI number?

The NPI number for Austre Medina is 1922938083. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Q: What is Austre Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Austre Medina was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 21, 2026PECOS Enrolled

6050 STERLING CREEK RD, PORTAGE, IN 46368(219) 508-9569 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Austre Berta Medina NPPES

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

AUSTRE BERTA MEDINA (NPI 1922938083) is an individual pediatrics provider in Portage, Indiana, licensed in Indiana (71018122A) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922938083

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAUSTRE BERTA MEDINA

Location Address6050 STERLING CREEK RDPortage, IN 46368-7752

Mailing Address6050 Sterling Creek RdPortage, IN 46368-7752 · (219) 763-8112

Phone(219) 508-9569

Sole ProprietorNo

Enumeration DateMay 21, 2026

NPPES CertifiedMay 21, 2026

✔ NPI 1922938083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71018122A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71018122A (IN)

6050 STERLING CREEK RD, Portage, IN 46368

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austre Berta Medina 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 46368 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

DANA DAWNIELLE JONES MD

Obstetrics & Gynecology