Jackmary Medina
NPI 1609710136 · Psychiatric/Mental Health Nurse Practitioner · New York, NY
Jackmary Medina is a Psychiatric/Mental Health Nurse Practitioner provider in New York, NY (NPI 1609710136).
Provider details
- NPI number
- 1609710136
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11046398 (FL)
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
Under 1 yr in 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)
- 200 Avenue F NeWinter Haven, FL 33881-4131Phone: (863) 293-1121
Registry dates
- Enumerated
- 2026-04-15
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Jackmary Medina's NPI number?
- Jackmary Medina's National Provider Identifier (NPI) is 1609710136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackmary Medina's specialty?
- Jackmary Medina is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackmary Medina located?
- Jackmary Medina's practice location on file with NPPES is 33 W 60th St Fl 6, New York, NY 10023-7905.
- What is Jackmary Medina's phone number?
- The practice phone number listed in the NPPES registry for Jackmary Medina is (212) 606-2300.
- Is Jackmary Medina's NPI active?
- Yes — Jackmary Medina's NPI (1609710136) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.