JASON BEAU DELUISA (ANP,CNP, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1629200894

JASON BEAU DELUISA (ANP,CNP, APRN) is a healthcare provider. based in Eagle river, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP,CNP, APRN. They hold a License No. 117659 (AK). The NPI Number for JASON BEAU DELUISA (ANP,CNP, APRN) is 1629200894

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JASON BEAU DELUISA (ANP,CNP, APRN)
NPI
1629200894
Phone
(505) 331-0295
Address
25822 BERRYHILL RD
Enumeration Date
20 August 2009
Last Update Date
1 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074633303
Graduation Year
2018 (8 years ago)
PAC ID
4486791548
Group Practice PAC ID
5799677480
Professional Enrollment ID
I20230712001972
Address ID
AK998017251JU3406XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JASON BEAU DELUISA (ANP,CNP, APRN)

  • 25822 BERRYHILL RD

    EAGLE RIVER, AK 995779603

    Phone: (505) 331-0295

    Fax: (907) 865-2433

    Type: Mailing

  • 15919 29th St E

    Parrish, FL 342191854

    Phone: (505) 331-0295

    Fax: (907) 865-2433

    Type: Location

  • 3406 Glacier Hwy Ste A

    Juneau, AK 998017251

    Phone: (907) 463-3303

    Type: Location

  • 15919 29TH ST E

    PARRISH, FL 342191854

    Phone: (505) 331-0295

    Fax: (907) 865-2433

    Type: Mailing

  • Lake Otis Parkway, Anchorage, Alaska, 99507, United States

    ANCHORAGE, AK 995085234

    Phone: (907) 202-5577

    Fax: (907) 865-2433

    Type: Location

  • 1577 C ST

    ANCHORAGE, AK 995015127

    Phone: (941) 348-6927

    Fax: (907) 865-2433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Alkermes, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091021000615INurse PractitionerNMTBD
I20211221000384INurse PractitionerCOTBD
I20211223000721INurse PractitionerFLTBD
I20230712001972INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes177111$0
36415Insertion of needle into vein for collection of blood sample5641$0
View full utilization report →

Insurance plans in this area (ZIP 99577)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799677480View full group profile
NameSpecialtyState
-WA
Clinical Social WorkerAK
Clinical Social WorkerAK
Clinical Social WorkerAK
Clinical Social WorkerAK
Mental Health CounselorFL
Clinical PsychologistAK
-AK
-IN
Clinical Social WorkerAK

Reviews

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Frequently asked questions

How do I look up JASON BEAU DELUISA (ANP,CNP, APRN) by NPI?
Use NPI 1629200894 when you need to reference JASON BEAU DELUISA (ANP,CNP, APRN) in forms, claims, or directories.
Does this profile mean JASON BEAU DELUISA (ANP,CNP, APRN) is currently active?
Yes — JASON BEAU DELUISA (ANP,CNP, APRN) appears active in the national provider directory.
What does JASON BEAU DELUISA (ANP,CNP, APRN) treat or focus on?
Patients typically see JASON BEAU DELUISA (ANP,CNP, APRN) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JASON BEAU DELUISA (ANP,CNP, APRN)'s primary listing?
We display Eagle River, Alaska because that is what the record indicates for JASON BEAU DELUISA (ANP,CNP, APRN).
What if Eagle River, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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