Active NPI
Maria Medina, FNP-BC
- Surgery Physician
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9293701
- Practice address
- 100 NW 170TH St Ste 410
North Miami Beach, FL 33169-5511 - Phone
- (305) 654-6850
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9293701 | FL | |
| Surgery Physician | 208600000X | 9293701 | FL | Primary |
Addresses
Primary practice location
100 NW 170TH St Ste 410
North Miami Beach, FL 33169-5511
Mailing address
8982 W 34TH CT
Hialeah, FL 33018-1884
Phone (786) 973-0460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100
1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.01 of 100
- Quality
- 72.99
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 78.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9293701 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Public Health Trust of Dade County Florida | Past | Accepting new patients |
Locations
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1801 NE 123rd St
Ste 301
North Miami, FL 33181
100 NW 170th St
Ste 410
North Miami Beach, FL 33169
Phone (305) 585-6969
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Miami, FL
- NPI 1134384423
-
- General Practice Physician
- Hialeah, FL
- NPI 1841149093
-
- Family Medicine Physician
- Miami, FL
- NPI 1902978695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1093239659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8982 W 34TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330181884",
"telephone_number": "786-973-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170TH ST STE 410",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695511",
"telephone_number": "305-654-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MARIA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9293701",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "9293701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.