JESUS MANNUEL MEDINA (PA) – Medical Physician Assistant, NPI 1346989720

JESUS MANNUEL MEDINA (PA) is a healthcare provider. based in San juan, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA15522 (TX). The NPI Number for JESUS MANNUEL MEDINA (PA) is 1346989720

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JESUS MANNUEL MEDINA (PA)
NPI
1346989720
Phone
(956) 783-7088
Address
417 W Fm 495
Enumeration Date
2 June 2022
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9569929161
Graduation Year
2019 (7 years ago)
PAC ID
0042690620
Group Practice PAC ID
9234423567
Professional Enrollment ID
I20220629002977
Address ID
TX785019357MC909XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for JESUS MANNUEL MEDINA (PA)

  • 417 W Fm 495

    San Juan, TX 785893717

    Phone: (956) 783-7088

    Type: Location

  • 336 S 8th St

    Raymondville, TX 785802526

    Phone: (956) 689-2456

    Type: Location

  • 512 VICTORIA LN STE 2

    HARLINGEN, TX 785503227

    Phone: (956) 365-4400

    Fax: (956) 365-4111

    Type: Mailing

  • 1810 HALE AVE STE 9

    HARLINGEN, TX 785507532

    Phone: (956) 412-0055

    Type: Location

  • 909 N JACKSON RD

    MCALLEN, TX 785019357

    Phone: (956) 992-9161

    Fax: (956) 992-9174

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,117.

Total Amount is formed as General ($1,117) + Research ($0) + Ownership ($0) = $1,117.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($417).

Total Amount

$1,117

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-29

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
I20220629002977IPhysician AssistantTXTBD

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 78589)

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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: 9234423567View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Peripheral Vascular DiseaseTX
General Surgery, Preventive Medicine, Vascular SurgeryTX
Nurse PractitionerTX
-PA

Reviews

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Frequently asked questions

Can I cross-check JESUS MANNUEL MEDINA (PA) using NPI 1346989720?
NPI 1346989720 belongs to JESUS MANNUEL MEDINA (PA); compare other details if you need extra assurance.
Is JESUS MANNUEL MEDINA (PA) shown as active in public data?
Registry records indicate JESUS MANNUEL MEDINA (PA) maintains an active NPI.
What kind of doctor is JESUS MANNUEL MEDINA (PA)?
JESUS MANNUEL MEDINA (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JESUS MANNUEL MEDINA (PA) located near San Juan?
JESUS MANNUEL MEDINA (PA) currently maps to San Juan, Texas in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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