Mary Elizabeth Medina, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

826254 Issued in NV

Practice address

691 Sierra Rose Dr Ste B
Reno, NV 89511-4010

Phone

(775) 453-1030

Fax

(775) 319-1613

NPI assigned

Feb 6, 2009

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.medina@1029658327056388.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Nurse Practitioner, NV

  Medicare reassignment NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1871297010

  Nurse Practitioner

  NPD
• Youth Inc. LLC

  dba Youth Inc.

  • Multi-Specialty Clinic/Center
  • Reno, NV
  • NPI 1972489011
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1700025285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13776 SWISS LANE",
            "city": "TRUCKEE CA",
            "state": "CA",
            "postal_code": "961613416",
            "telephone_number": "510-367-5383",
            "fax_number": "510-367-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 SIERRA ROSE DR STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114010",
            "telephone_number": "775-453-1030",
            "fax_number": "775-319-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W Winnie Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897032154",
            "country_code": "US",
            "telephone_number": "619-648-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "826254",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18684",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "450481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14603059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV APRN LIC",
            "identifier": "826254",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doralia Medina
• Jenny Medina
• Karen Medina
• Maria Medina
• Marlen Medina
• Rena Medina
• Rahul Navin Mediwala
• Citlally Lizeth Medrano
• Medtech Services Inc
• Medtrans Behavioral Nevada Casal, PLLC

• Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.