JENNIFER LEA MEDINA (NP) – Family Nurse Practitioner, NPI 1659745164

JENNIFER LEA MEDINA (NP) is a healthcare provider. based in Pueblo, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2015001624 (CO). The NPI Number for JENNIFER LEA MEDINA (NP) is 1659745164

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEA MEDINA (NP)
NPI
1659745164
Phone
(719) 543-8346
Address
115 E RIVERWALK
Enumeration Date
20 November 2015
Last Update Date
20 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195438346
Graduation Year
2008 (18 years ago)
PAC ID
7113220179
Group Practice PAC ID
8325181431
Professional Enrollment ID
I20160125002699
Address ID
CO810033320PU115XXRIVE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for JENNIFER LEA MEDINA (NP)

  • 115 E RIVERWALK

    UNIT 200

    PUEBLO, CO 810033308

    Phone: (719) 543-8346

    Fax: (970) 667-0847

    Type: Location

  • PO BOX 7702

    LOVELAND, CO 805370702

    Phone: (970) 663-2742

    Fax: (970) 667-0847

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $340.

Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Tactile Systems Technology Inc ($133).

Total Amount

$340

General + Research + Ownership

Payments

15

Total payment records

General Amount

$340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2016-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160125002699INurse PractitionerCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance13744$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance13651$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance10138$0
99214Established patient office or other outpatient visit, 30-39 minutes8562$0
99213Established patient office or other outpatient visit, 20-29 minutes7152$0
View full utilization report →

Insurance plans in this area (ZIP 81003)

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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: 8325181431View full group profile
NameSpecialtyState
-CO
Physician AssistantMO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Vascular Surgery, Diagnostic Radiology, Interventional RadiologyNE
Vascular SurgeryCO
-CO
-FL

Reviews

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Frequently asked questions

What identifier follows JENNIFER LEA MEDINA (NP) across health systems?
The NPI 1659745164 uniquely identifies JENNIFER LEA MEDINA (NP) in U.S. healthcare data.
Is JENNIFER LEA MEDINA (NP) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER LEA MEDINA (NP) as active.
What does the directory say JENNIFER LEA MEDINA (NP) does?
Insurance directories may phrase it differently, but here JENNIFER LEA MEDINA (NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER LEA MEDINA (NP)?
JENNIFER LEA MEDINA (NP) is associated with Pueblo, Colorado in the same public data insurers reference.
Can I export JENNIFER LEA MEDINA (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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