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

Kelly Maria Medina

Individual provider Medical Physician Assistant · NPI 1225738545

Kelly Maria Medina is a Physician Assistant in Aventura, Florida. Qualified in 2024, 2 years ago. Practices with Genesiscare USA of Florida LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2023

Practice location Address checks out

2801 NE 213th St Ste 1001
Aventura, FL 33180-1265
Phone: (305) 466-9111
Fax: (305) 466-9127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9119158 (FL)

Record details

NPI number1225738545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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 Genesiscare Usa Of Florida Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Aventura