Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carli Medina, PA-C

Individual provider Medical Physician Assistant · NPI 1508680851

Carli Medina, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 963-0166
Fax: (317) 963-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297 — (317) 963-0156

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004649A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10004649A (IN)

Record details

NPI number1508680851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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