Individual provider Active NPI

Nyida Medina, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1407495872
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021619 Issued in PA
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

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002581 PA Practitioner - Nurse Practitioner 0143635599 Reassigns benefits to 5 organizations

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
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

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

LicenseStateTypeSpecialty
650843PAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Healthcare Solutions CurrentSince Mar 1, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Consonant Healing Medical Associates CurrentSince May 1, 2023 Accepting new patients
Wound Healing Solutions Pennsylvania and Delaware LLC CurrentSince Jun 5, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 23, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.