DIANA MEDINA (PA-C) – Physician Assistant, NPI 1104873082
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
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Provider Addresses for DIANA MEDINA (PA-C)
2025, Galisteo Street, Santa Fe, Santa Fe County, New Mexico, 87505, United States
SANTA FE, NM 875052101
Phone: (505) 995-4901
Fax: (505) 989-6426
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)
CMS reports 22 Open Payments records for all available years, with a total value of $465.
Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($153).
Total Amount
$465
General + Research + Ownership
Payments
22
Total payment records
General Amount
$465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $153 |
| Amgen Inc. | $113 |
| Novartis Pharmaceuticals Corporation | $67 |
| PFIZER INC. | $52 |
| Xeris Pharmaceuticals, Inc. | $51 |
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: 2014-11-06
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 |
|---|---|---|---|---|
| I20141106000122 | I | Physician Assistant | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 87505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| - | NM | |
| Emergency Medicine, Family Practice | TX | |
| Physician Assistant | CO | |
| - | CO | |
| Mental Health Counselor | CO | |
| Physician Assistant | CO | |
| - | CO |
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