Individual provider Active NPI

Rosario Medina, ARNP

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1841418696
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 0991550-NP Issued in CO
Practice address
13120 E 19TH Ave
C288-5
Aurora, CO 80045-2567
Phone
(303) 724-8816
Fax
(303) 724-8560
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2540642 FL
Family Nurse Practitioner 363LF0000X APN 0991550-NP CO Primary

Addresses

Primary practice location

13120 E 19TH Ave
C288-5
Aurora, CO 80045-2567

Mailing address

13120 E 19TH Ave
C288-5
Aurora, CO 80045-2567
Phone (303) 724-8816

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20251229001862 NM Practitioner - Nurse Practitioner 3375721772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Vida Health Care and Medi SpaGroup PAC ID 6507092327, 14 clinicians

Practice addresses (Care Compare)

328 Main St NE
Los Lunas, NM 87031-7454
Phone (505) 916-5446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 0991550-NPCOMDFamily Nurse Practitioner
2540642FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vida Health Care and Medi Spa CurrentSince Dec 1, 2025 Accepting new patients

Locations

328 Main St NE
Los Lunas, NM 87031
Phone (505) 916-5167

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1841418696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 E 19TH AVE",
            "address_2": "C288-5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452567",
            "telephone_number": "303-724-8816",
            "fax_number": "303-724-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 E 19TH AVE",
            "address_2": "C288-5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452567",
            "telephone_number": "303-724-8816",
            "fax_number": "303-724-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ROSARIO",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2540642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN 0991550-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.