Individual provider Active NPI

Elizabeth Minges Medina, CRNP

  • Adult Health Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1538466529
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011111 Issued in PA
Practice address
261 Old York Rd
Suite 214
Jenkintown, PA 19046-3706
Phone
(215) 885-4700
Fax
(215) 885-6861
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP011111 PA Primary

Addresses

Primary practice location

261 Old York Rd
Suite 214
Jenkintown, PA 19046-3706

Mailing address

261 Old York Rd
Suite 724
Jenkintown, PA 19046-3706
Phone (215) 671-4280

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
I20150303001498 PA Practitioner - Nurse Practitioner 5991021347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Suite 214
Jenkintown, PA 19046-3724
Phone (215) 885-4700

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Nov 1, 2023 Accepting new patients
Temple Physicians Inc CurrentSince Aug 8, 2018 Accepting new patients
Aria Health Physician Services CurrentSince Nov 1, 2023 Accepting new patients
Temple Physician Inc. CurrentSince Aug 8, 2018 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Temple Physicians Inc Current Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

261 Old York Rd
Ste 214
Jenkintown, PA 19046
Phone (215) 885-4700

261 Old York Rd
Ste 724
Jenkintown, PA 19046
Phone (215) 671-4280

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

9501 Roosevelt Blvd
Ste 501
Philadelphia, PA 19114
Phone (215) 670-5000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1538466529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 724",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-671-4280",
            "fax_number": "215-464-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-885-4700",
            "fax_number": "215-885-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ELIZABETH",
        "middle_name": "MINGES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.