Individual provider Active NPI

Elsie D Valentin Medina, APRN, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1124967534
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11046082 Issued in FL
Practice address
4620 N 22ND St
Tampa, FL 33610-6205
Phone
(813) 397-5300
NPI assigned
Mar 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11046082 FL Primary

Addresses

Primary practice location

4620 N 22ND St
Tampa, FL 33610-6205

Mailing address

4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 W Fletcher Ave
Tampa, FL 33612-3415

PO Box
Suite 82969
Tampa, FL 33682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11046082FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1124967534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106205",
            "telephone_number": "813-397-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336106205",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN MEDINA",
        "first_name": "ELSIE",
        "middle_name": "D",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11046082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.