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MARCELA MEDINA
NPI 1942676937
Social Worker - School in Miami, FL

Active since August 13, 2015PECOS EnrolledAccepts Medicare Assignment
4835 SW 111TH AVE, MIAMI, FL 33165(786) 301-8476(786) 301-8476 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2025, Feb 15, 2025 (2 updates tracked since 2025).

About Marcela Medina NPPES

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

MARCELA MEDINA (NPI 1942676937) is an individual school provider in Miami, Florida, licensed in District Of Columbia (50081938) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942676937
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMARCELA MEDINA
Location Address4835 SW 111TH AVEMiami, FL 33165-6132
Mailing Address4835 Sw 111th AveMiami, FL 33165-6132 · (786) 624-9329
Phone(786) 301-8476
Fax(786) 301-8476
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 13, 2015
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1942676937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in DC · 50081938
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW15365 (FL), 24606 (MD), 50081938 (DC)
4835 SW 111TH AVE, Miami, FL 33165
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcela Medina is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870959158
PECOS Enrollment IDI20230510003185
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 Reassignments

3

Medicare enrollment records show Marcela Medina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
12 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Mccd Fl Psychiatry Services PA
326 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 247 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Mental Health Specialty Group PA
713 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, District of Columbia enrollment
  • 18 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marcela Medina's NPI number?

The NPI number for Marcela Medina is 1942676937. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Marcela Medina located?

Marcela Medina practices at 4835 SW 111th Ave, Miami, FL 33165. The listed phone number is (786) 301-8476.

What is Marcela Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Marcela Medina enrolled in Medicare?

Yes. Marcela Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marcela Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcela Medina reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PA (Miami, FL), Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Mental Health Specialty Group PA (Durham, NC). Each 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 Marcela Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcela Medina accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Marcela Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcela Medina was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.