Jean Claude Medina, DNP-AAPRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9348782 Issued in FL

Practice address

3156 S University Dr
Miramar, FL 33025-3001

Phone

(754) 217-3929

Fax

(754) 217-3931

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment NPD
• Meromed Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
  • NPI 1770377442
  NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1235683822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 SW 166TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274445",
            "telephone_number": "786-234-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 S UNIVERSITY DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253001",
            "telephone_number": "754-217-3929",
            "fax_number": "754-217-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 NW 120th St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331682529",
            "country_code": "US",
            "telephone_number": "130-568-8081",
            "fax_number": "305-688-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JEAN",
        "middle_name": "CLAUDE",
        "credential": "DNP-AAPRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9348782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medic Essentials LLC
• Sabely Medina Torres
• Issamar Medina Valdez
• Camille Maryse Medina
• Carmen Angelica Medina
• Jesenia Jessica Medina
• Kristina Medina, ARNP
• Nancy Medina, DMD
• Raynold Medina
• Yudith Medina

• Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.