Elise Medina
NPI 1134836497 · Pediatric Nurse Practitioner · Philadelphia, PA
Elise Medina is a Pediatric Nurse Practitioner provider in Philadelphia, PA (NPI 1134836497).
Provider details
- NPI number
- 1134836497
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP026366 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3401 Civic Center BlvdPhiladelphia, PA 19104-4319Phone: (215) 590-1000
Registry dates
- Enumerated
- 2022-11-04
- Last updated
- 2022-11-04
- Certified
- 2022-11-04
Frequently asked questions
- What is Elise Medina's NPI number?
- Elise Medina's National Provider Identifier (NPI) is 1134836497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elise Medina's specialty?
- Elise Medina is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elise Medina located?
- Elise Medina's practice location on file with NPPES is 3500 Civic Center Blvd, Philadelphia, PA 19104-4395.
- What is Elise Medina's phone number?
- The practice phone number listed in the NPPES registry for Elise Medina is (215) 590-1000.
- Is Elise Medina's NPI active?
- Yes — Elise Medina's NPI (1134836497) is active in the NPPES registry as of the last update on 2022-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.