Marissa Veronica Medina

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

2201 N Cambridge Ave
Milwaukee, WI 53202-1047

Phone

(414) 949-1040

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Med Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1972467603
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1992580997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N JEFFERSON ST STE 408",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023875",
            "telephone_number": "414-949-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CAMBRIDGE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021047",
            "telephone_number": "414-949-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARISSA",
        "middle_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicate Pharmacy Inc
• Moranda Maria Medina-Lopez, RN
• Alexandra Cristina Medina, CNM
• Gilbert Medina, SACIT
• Heidi L Medina, APNP NP
• Mark Allen Medina, PTA10
• Sharon Medina, MS. ED.
• Medina'S Way
• Ashley Medinger, PHARMD
• Tia C Medley, NP

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.