RON MEDINA (FNP-BC) – Family Nurse Practitioner, NPI 1407560287

RON MEDINA (FNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209.026387 (IL). The NPI Number for RON MEDINA (FNP-BC) is 1407560287

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
RON MEDINA (FNP-BC)
NPI
1407560287
Phone
(773) 878-8200
Address
5145 N CALIFORNIA AVE
Enumeration Date
6 January 2023
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043301024
Graduation Year
2022 (4 years ago)
PAC ID
6305218413
Group Practice PAC ID
5395159677
Professional Enrollment ID
I20230217000533
Address ID
IL606224910CH948XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for RON MEDINA (FNP-BC)

  • 5145 N CALIFORNIA AVE

    CHICAGO, IL 606253661

    Phone: (773) 878-8200

    Type: Mailing

  • 5140 N CALIFORNIA AVE

    CHICAGO, IL 606253645

    Phone: (773) 878-8200

    Type: Location

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: 2023-02-17

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
I20230217000533INurse PractitionerILTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7572$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60625)

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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: 5395159677View full group profile
NameSpecialtyState
Nurse PractitionerIL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)WI
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What federal number belongs to RON MEDINA (FNP-BC)?
The federal identifier for RON MEDINA (FNP-BC) is NPI 1407560287.
Is RON MEDINA (FNP-BC) active in the national directory?
RON MEDINA (FNP-BC)'s public NPI profile is in an active state.
Does RON MEDINA (FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for RON MEDINA (FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for RON MEDINA (FNP-BC)?
We surface Chicago, Illinois for RON MEDINA (FNP-BC) based on available NPPES addresses.
Is RON MEDINA (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1407560287. Always confirm identity and privileges with the practice and licensing boards.

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