DIANA MEDINA (P.A.) – Physician Assistant, NPI 1023419728
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIANA MEDINA (P.A.)
2700 GLADES CIR STE 136
WESTON, FL 333272210
Phone: (954) 738-2512
Fax: (865) 409-5715
Type: Location
6520 FORT CAROLINE RD
JACKSONVILLE, FL 322772044
Phone: (904) 745-3618
Fax: (904) 722-4271
Type: Mailing
11513 N MAIN ST
JACKSONVILLE, FL 322184002
Phone: (904) 751-6200
Fax: (904) 751-1600
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
1351 13TH AVE S STE 110
JACKSONVILLE BEACH, FL 322503237
Phone: (904) 249-9995
Fax: (904) 249-9449
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,425.
Total Amount is formed as General ($1,425) + Research ($0) + Ownership ($0) = $1,425.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Inari Medical, Inc. ($1,209).
Total Amount
$1,425
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $1,209 |
| Amgen Inc. | $63 |
| PFIZER INC. | $47 |
| ABBVIE INC. | $37 |
| Novo Nordisk Inc | $34 |
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: 2014-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141024001077 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33327)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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