MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) – Family Nurse Practitioner, NPI 1023549037
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA)
512 S Glendora Ave
West Covina, CA 917903022
Phone: (626) 337-2888
Type: Location
McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States
BURR RIDGE, IL 605270872
Phone:
Type: Mailing
Jefferson Avenue, Murrieta, Riverside County, California, 92562, United States
MURRIETA, CA 92562
Phone: (877) 448-3627
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 $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Biogen, Inc. ($60).
Total Amount
$60
General + Research + Ownership
Payments
1
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $60 |
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: 2019-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190513000264 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 72 | 22 | $0 |
Insurance plans in this area (ZIP 91790)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | MI | |
| - | IL | |
| Infectious Disease | IL | |
| Emergency Medicine, Family Practice | TN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | FL | |
| Physician Assistant | IL |
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