GABRIELLA HOPE MEDINA – Surgical Physician Assistant, NPI 1164298014

GABRIELLA HOPE MEDINA is a healthcare provider. based in New egypt, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 25MP00816000 (NJ). The NPI Number for GABRIELLA HOPE MEDINA is 1164298014

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELLA HOPE MEDINA
NPI
1164298014
Phone
(609) 752-4346
Address
168 HAWKIN RD
Enumeration Date
1 December 2023
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
1254870132
Group Practice PAC ID
4587613443
Professional Enrollment ID
I20240822003384
Address ID
NJ089011962NE125XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for GABRIELLA HOPE MEDINA

  • 168 HAWKIN RD

    NEW EGYPT, NJ 085332802

    Phone: (609) 752-4346

    Type: Mailing

  • 1 ROBERT WOOD JOHNSON PL

    NEW BRUNSWICK, NJ 089011928

    Phone: (732) 828-3000

    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: 2024-08-22

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
I20240822003384IPhysician AssistantNJTBD

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 08533)

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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: 4587613443View full group profile
NameSpecialtyState
Vascular SurgeryNJ
O T O L A R Y N G O L O G YPA
Nurse PractitionerNJ
O T O L A R Y N G O L O G YNJ
General SurgeryPA
Nurse PractitionerNJ
General Surgery, Thoracic SurgeryPA
Physician AssistantNJ
N E U R O L O G YNY
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify GABRIELLA HOPE MEDINA for billing?
Administrative and clinical systems typically use NPI 1164298014 for GABRIELLA HOPE MEDINA.
Is GABRIELLA HOPE MEDINA's NPI status active today?
Active status means GABRIELLA HOPE MEDINA's NPI record is not deactivated in the public file.
What services align with GABRIELLA HOPE MEDINA's listing?
GABRIELLA HOPE MEDINA's public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is GABRIELLA HOPE MEDINA tied to New Egypt, New Jersey?
If you are local to New Egypt, New Jersey, GABRIELLA HOPE MEDINA may be relevant to your search.
Who maintains GABRIELLA HOPE MEDINA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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