DR. RICHARD HIWATIG MEDINA (DNP) – Certified Registered Nurse Anesthetist, NPI 1235734716

DR. RICHARD HIWATIG MEDINA (DNP) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP. They hold a License No. RN9314274 (FL). The NPI Number for DR. RICHARD HIWATIG MEDINA (DNP) is 1235734716

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD HIWATIG MEDINA (DNP)
NPI
1235734716
Phone
(904) 910-5414
Address
4144 HIGHWOOD DR
Enumeration Date
2 December 2020
Last Update Date
23 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2010 (16 years ago)
PAC ID
5597171934
Group Practice PAC ID
7416869565
Professional Enrollment ID
I20210309001790
Address ID
FL322044748JA1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for DR. RICHARD HIWATIG MEDINA (DNP)

  • 4144 HIGHWOOD DR

    JACKSONVILLE, FL 322163617

    Phone: (904) 910-5414

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-09

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
I20210309001790ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00670Anesthesia for extensive surgery on spine3634$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 7416869565View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
-WI
A N E S T H E S I O L O G YFL
-FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Can I verify DR. RICHARD HIWATIG MEDINA (DNP) with an NPI only?
You can start verification with NPI 1235734716 for DR. RICHARD HIWATIG MEDINA (DNP), then check state licensing separately.
Does CMS list DR. RICHARD HIWATIG MEDINA (DNP) as active?
Yes — DR. RICHARD HIWATIG MEDINA (DNP) is active in the NPI listing used on this page.
What is DR. RICHARD HIWATIG MEDINA (DNP) best known for clinically?
Directory data describes DR. RICHARD HIWATIG MEDINA (DNP) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RICHARD HIWATIG MEDINA (DNP) on a map?
Expect Jacksonville, Florida as a primary anchor for DR. RICHARD HIWATIG MEDINA (DNP) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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