Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Medina, PAC

Individual provider Physician Assistant · NPI 1558351460

Edward Medina, PAC is a Physician Assistant in Alamosa, Colorado. Qualified in 1998, 28 years ago. Practices with Valley-Wide Health Systems, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1710 1st St
Alamosa, CO 81101-2302
Phone: (719) 589-3658
Fax: (719) 589-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1115 (CO)

Record details

NPI number1558351460
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1710 1st St, Alamosa, CO 81101-2302

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Valley-Wide Health Systems, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Alamosa