Cherry Elaine Serafica Medina, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN-3568-0 Issued in HI

Practice address

55 Merchant St Ste 2900
Honolulu, HI 96813-4384

Phone

(808) 536-8012

NPI assigned

Mar 31, 2022

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

Medicare fee-for-service enrollment

Enrolled in HI

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

Credentials

Nurse Practitioner

State licenses

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.

• Bristol Palliative Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1467930552

  HI

  Medicare reassignment

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1770223232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 HALUPA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181819",
            "telephone_number": "808-227-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST STE 2900",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134384",
            "telephone_number": "808-536-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4234 Halupa St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968181819",
            "country_code": "US",
            "telephone_number": "808-227-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CHERRY ELAINE",
        "middle_name": "SERAFICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "3568-0",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN3568-0",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-3568-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Specialists of Hawaii, LLC
• Medicine Pediatrics Associates, LLC
• Medicus Inc
• Flora Gadi Medina-Manuel, M.D.
• Candi Medina, RDN
• Farrah Lei Medina
• Joshua Medina
• Kaycee Medina
• Violet Rose Medina
• Medipharm Pharmacy

• Gerontology Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Gerontology Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.