PEDRO STEVE MEDINA – Family Nurse Practitioner, NPI 1366915613

PEDRO STEVE MEDINA is a healthcare provider. based in El paso, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP139532 (TX). The NPI Number for PEDRO STEVE MEDINA is 1366915613

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
PEDRO STEVE MEDINA
NPI
1366915613
Phone
(915) 472-3090
Address
12520 WOLF BERRY DR
Enumeration Date
9 January 2019
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155326767
Graduation Year
2018 (8 years ago)
PAC ID
7012240757
Group Practice PAC ID
9335130137
Professional Enrollment ID
I20190611003143
Address ID
TX799367651EL1418XDRXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for PEDRO STEVE MEDINA

  • 12520, Wolf Berry Drive, El Paso, El Paso County, Texas, 79928, United States

    EL PASO, TX 799285289

    Phone: (915) 472-3090

    Type: Mailing

  • Gateway Boulevard West, El Paso, El Paso County, Texas, 79903, United States

    EL PASO, TX 799257618

    Phone: (915) 594-5250

    Type: Location

  • 4301 N Mesa St Ste 100

    El Paso, TX 799021118

    Phone: (915) 532-6767

    Fax: (915) 532-4023

    Type: Location

  • 1418 George Dieter Dr Ste 210

    El Paso, TX 799367651

    Phone: (915) 532-6767

    Fax: (915) 532-4023

    Type: Location

  • 7450 REMCON CIR

    EL PASO, TX 799123508

    Phone: (915) 532-6767

    Fax: (915) 532-4023

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $3,260.

Total Amount is formed as General ($3,260) + Research ($0) + Ownership ($0) = $3,260.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Inari Medical, Inc. ($1,399).

Total Amount

$3,260

General + Research + Ownership

Payments

75

Total payment records

General Amount

$3,260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2019-06-11

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
I20190611003143INurse PractitionerTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10950$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3532$0
View full utilization report →

Insurance plans in this area (ZIP 79928)

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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: 9335130137View full group profile
NameSpecialtyState
-TX
Cardiovascular Disease (Cardiology)TX
Internal Medicine, Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology), Hospitalist, Interventional CardiologyTX
Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology)AL

Reviews

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Frequently asked questions

What is the 10-digit NPI for PEDRO STEVE MEDINA?
PEDRO STEVE MEDINA — NPI 1366915613 — is the standard way to identify this listing.
Does the file indicate PEDRO STEVE MEDINA is practicing under active NPI?
Directory data currently reports PEDRO STEVE MEDINA as active.
What is PEDRO STEVE MEDINA best known for clinically?
Directory data describes PEDRO STEVE MEDINA with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does PEDRO STEVE MEDINA serve?
PEDRO STEVE MEDINA's listing highlights El Paso, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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