MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) – Family Nurse Practitioner, NPI 1023549037

MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) is a healthcare provider. based in West covina, California. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP, MBA. They hold a License No. 95006285 (CA). The NPI Number for MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) is 1023549037

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA)
NPI
1023549037
Phone
(626) 337-2888
Address
512 S Glendora Ave
Enumeration Date
22 March 2017
Last Update Date
18 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513955457
Graduation Year
2016 (10 years ago)
PAC ID
2466795547
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20190513000264
Address ID
CA925629027MU24640AVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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

CompanyAmount
Biogen, Inc.$60
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190513000264INurse PractitionerCATBD

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
96372Injection of drug or substance under skin or into muscle7222$0
View full utilization report →

Insurance plans in this area (ZIP 91790)

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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: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

Does MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) uses 1023549037.
Is MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) still practicing?
MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) is currently listed as active in the public NPI registry.
What is MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA)'s primary classification?
Family Nurse Practitioner is the headline specialty for MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA)?
MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA)'s geographic hint is West Covina, California in our summary view.
Is the information about MR. ANDRE CRISTIAN DE JESUS (RN, FNP, MBA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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