Maria D Medina, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-74537 Issued in KS

Practice address

9350 E 35TH St N
Suite 101
Wichita, KS 67226-2019

Phone

(316) 265-1308

Fax

(316) 265-4480

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Merit-based Incentive Payment System (MIPS)

Final score

85.87 of 100Reported as group

Quality

77.51

Promoting interoperability

98

Improvement activities

40

Cost

77.06

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heartland Cardiology, LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1134503840
  Medicare reassignment NPD
• Heartland Cardiology, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Wichita, KS
  • NPI 1043019797
  NPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1215932009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47669",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017669",
            "telephone_number": "316-712-9235",
            "fax_number": "316-219-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "SUITE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-74537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428600B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical on Demand LLC
• Medical Specialists of Kansas PA
• Medical Specialties of Kansas, L.L.C.
• Medicalodges, Inc.
• Medictran Services LLC
• Natalie Medina
• Medisource Healthcare Solutions, Inc
• Tammi Sue Medlam
• Madison June Medley, SOCIAL WORKER
• Medlife LLC

• Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.