Yanet Medina

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11043770 Issued in FL

Practice address

9050 Pines Blvd Ste 150
Pembroke Pines, FL 33024-6400

Phone

(954) 872-0555

NPI assigned

Sep 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ebenezer Wellness Center IncGroup PAC ID 2668860248, 5 clinicians

Medical Research of Miami LLCGroup PAC ID 5193177384, 7 clinicians

Ajandnd CorpGroup PAC ID 2567873524, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aj&ND Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1275019515
  Medicare reassignment Care Compare group
• Ebenezer Wellness Center Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1265007207
  Medicare reassignment Care Compare group
• Medical Research of Miami LLC

  • Adult Mental Health Clinic/Center
  • Miami, FL
  • NPI 1134904741
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1932071107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255618",
            "telephone_number": "786-227-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246400",
            "telephone_number": "954-872-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11043770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilka J. Medina, PT
• Katherine Medina
• Neyvi Medina, ARNP
• Nicole Medina, BCBA
• Nidia Medina
• Medistaff Network, Inc.
• Medistaff Network, Inc.
• Medko Health
• Mef Pharmacy Corp
• Mefl, LLC

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.