NPIMap

Individual provider Active NPI

Medina Saida Yasin, RN

  • Gerontology Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1972857571
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9220971 Issued in FL
Practice address
3720 SE Jennings Rd
Port St Lucie, FL 34952
Phone
(866) 670-0237
Fax
(866) 670-0237
NPI assigned
Nov 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9220971 FL Primary

Addresses

Primary practice location

3720 SE Jennings Rd
Port St Lucie, FL 34952

Mailing address

19034 SW Positano Way
Port St Lucie, FL 34986-2882
Phone (866) 670-0237

Other practice location 1

3720 SE Jennings Rd
Port St Lucie, FL 34952
Phone (866) 670-0237 ext. 113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129002204 FL Practitioner - Nurse Practitioner 7315204302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medina Yasin Solutions LLCGroup PAC ID 6406106020, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Port Saint Lucie, FL 34987
Phone (772) 361-3367

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 365-4539

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Port Saint Lucie, FL, CCN 107586
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9220971FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Medical Consulting, LLC CurrentSince Nov 26, 2018 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Jul 1, 2018 Accepting new patients
Balanced Wellbeing LLC CurrentSince Apr 5, 2019 Accepting new patients
Medina Yasin Solutions LLC CurrentSince Mar 22, 2018 Accepting new patients

Locations

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

3720 SE Jennings Rd
Port St Lucie, FL 34952
Phone (772) 202-0106

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

Organizations & group practices 4

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 10

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": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1972857571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19034 SW POSITANO WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862882",
            "telephone_number": "866-670-0237",
            "fax_number": "866-670-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SE JENNINGS RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "866-670-0237",
            "fax_number": "866-670-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 SE Jennings Rd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "34952",
            "country_code": "US",
            "telephone_number": "866-670-0237 x113",
            "fax_number": "866-670-0237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASIN",
        "first_name": "MEDINA",
        "middle_name": "SAIDA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9220971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.