ALEXIS MEDINA (FNP-C) – Family Nurse Practitioner, NPI 1679094957

ALEXIS MEDINA (FNP-C) is a healthcare provider. based in Pelham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. NP002015 (GA). The NPI Number for ALEXIS MEDINA (FNP-C) is 1679094957

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS MEDINA (FNP-C)
NPI
1679094957
Phone
(205) 835-2288
Address
130 STONEHAVEN DR
Enumeration Date
27 June 2017
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704588929
Graduation Year
2017 (9 years ago)
PAC ID
9537427885
Group Practice PAC ID
0345493375
Professional Enrollment ID
I20240628000113
Address ID
GA303412799CH5001XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ALEXIS MEDINA (FNP-C)

  • 130 STONEHAVEN DR

    PELHAM, AL 351243908

    Phone: (205) 835-2288

    Type: Mailing

  • 5001 Peachtree Blvd

    Atlanta, GA 303412798

    Phone: (770) 458-8929

    Type: Location

  • 5892 TRUSSVILLE CROSSING PKWY

    BIRMINGHAM, AL 35235

    Phone: (205) 655-4002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $485.

Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($360).

Total Amount

$485

General + Research + Ownership

Payments

4

Total payment records

General Amount

$485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171214003176INurse PractitionerALTBD
I20240628000113INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345493375View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Internal Medicine, Emergency MedicineMI
Nurse PractitionerGA
Nurse PractitionerAL
-GA

Reviews

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Frequently asked questions

Is ALEXIS MEDINA (FNP-C) listed with a National Provider Identifier?
Yes — ALEXIS MEDINA (FNP-C) has NPI 1679094957 on file in the registry.
Is ALEXIS MEDINA (FNP-C) still an active registrant?
ALEXIS MEDINA (FNP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for ALEXIS MEDINA (FNP-C)?
At a glance, ALEXIS MEDINA (FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Alabama is ALEXIS MEDINA (FNP-C) registered?
Use Pelham, Alabama as the headline location for ALEXIS MEDINA (FNP-C) here.
When was this NPI issued?
Enumeration for ALEXIS MEDINA (FNP-C) is noted as June 27, 2017 where the registry provides it.

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