Active NPI
Nyida Medina, CRNP
- Family Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021619
- Practice address
- 1777 5TH Ave
York, PA 17403-2632 - Phone
- (717) 843-8051
- NPI assigned
- Jan 2, 2020
- 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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 650843 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP021619 | PA | Primary |
Addresses
Primary practice location
1777 5TH Ave
York, PA 17403-2632
Mailing address
1777 5TH Ave
York, PA 17403-2632
Phone (717) 843-8051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (888) 402-0202
905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650843 | PA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Healthcare Solutions | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Wound Healing Solutions Pennsylvania and Delaware LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517
100 Challenger Rd
#205
Ridgefield Pk, NJ 07660
32 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 646-7050
150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
1000 Claremont Rd
Carlisle, PA 17013
Phone (717) 241-1960
110 Fredonia Rd
Greenville, PA 16125
Phone (724) 588-8090
395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973
2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990
2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1777 5th Ave
York, PA 17403
Phone (717) 843-8051
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Sinking Springs, PA
- NPI 1659736957
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
PA
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Pain Medicine Physician
- York, PA
- NPI 1518475029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1407495872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 5TH AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174032632",
"telephone_number": "717-843-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 5TH AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174032632",
"telephone_number": "717-843-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "NYIDA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "PA",
"license": "650843",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
- 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.