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

Mariella Medina, PA-C

Individual provider Physician Assistant · NPI 1174392765

Mariella Medina, PA-C is a Physician Assistant in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2023.

Licensed in
DC
In the registry since
2023
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

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-2151
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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 PA200002244 (DC)

Record details

NPI number1174392765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 25, 2023
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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