Patricia Ann Medina, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60838565 Issued in WA

Practice address

3402 S 19TH St
Tacoma, WA 98405-2487

Phone

(253) 301-5400

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR, UT, CA, ID, NV6 enrollments

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.

Enrollment records 6

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Altea Medical Oregon LLCGroup PAC ID 7315470895, 13 clinicians

Santibanez Pac NevadaGroup PAC ID 1153773288, 14 clinicians

Santibanez Pac IdahoGroup PAC ID 2961846209, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 33)

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.

• Altea Medical Oregon LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, OR
  • NPI 1184451254
  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  OR, UT, WA

  Medicare reassignment Care Compare group NPD
• Santibanez Pac Idaho

  • Geriatric Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
  • NPI 1346015948

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Santibanez Pac Nevada

  • Geriatric Medicine (Internal Medicine) Physician
  • Carson City, NV
  • NPI 1174398770

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Alliance for South Sound Health

  dba Wellfound Behavioral Health Hospital

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1891298980
  Medicare reassignment NPD
• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Altea Medical California PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Eureka, CA
  • NPI 1174302954
  Medicare reassignment NPD
• Santibanez Pac Utah

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1881469484

  Nurse Practitioner

  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Kent MultiCare Clinic

  • Family Medicine Physician
  • Kent, WA
  • NPI 1811949928

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1215439922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 67TH AVE W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998330",
            "telephone_number": "253-212-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052487",
            "telephone_number": "253-301-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10007229",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031444",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60838565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jean Medchill
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
• Medical Rentals LLC
• Medicinal Alternative Solutions, LLC (MAS Care Medical Center of Tacoma)
• Luis Medina, SUDPT
• Justin Michael Medlock, D.O.
• Spartak Alexander Mednikov, PHARMD
• Patrick Scott Meehan Jr., MD
• Megan Elizabeth Meek
• Alyssa C Meeks, RN

• Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.