MS. CRYSTAL DEJESUS (PA-C) – Physician Assistant, NPI 1063775765
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. CRYSTAL DEJESUS (PA-C)
2285 S SEMORAN BLVD
ORLANDO, FL 328222703
Phone: (407) 282-8200
Fax: (407) 282-8019
Type: Location
1917 BOOTHE CIR
LONGWOOD, FL 327506708
Phone: (407) 679-3337
Fax: (407) 678-7246
Type: Mailing
7620 LAKE UNDERHILL RD
ORLANDO, FL 328228223
Phone: (321) 235-0692
Fax: (321) 235-0694
Type: Mailing
12301 Lake Underhill Rd Ste 215
Orlando, FL 328284511
Phone: (321) 235-0692
Fax: (321) 235-0694
Type: Location
19735 US HIGHWAY 441 FL 1
MOUNT DORA, FL 327572204
Phone: (352) 735-5700
Fax: (352) 735-5701
Type: Location
12301 LAKE UNDERHILL RD STE 215
ORLANDO, FL 328284511
Phone: (321) 235-0692
Fax: (321) 235-0694
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($153).
Total Amount
$239
General + Research + Ownership
Payments
7
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $153 |
| Bayer Healthcare Pharmaceuticals Inc. | $37 |
| Lilly USA, LLC | $29 |
| Novo Nordisk Inc | $19 |
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: 2013-10-11
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 |
|---|---|---|---|---|
| I20131011000943 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | FL | |
| Family Practice | LA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | TX | |
| Internal Medicine | FL |
Reviews
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