ALONDRA ORTIZ DE JESUS (PA-C) – Medical Physician Assistant, NPI 1740019371

ALONDRA ORTIZ DE JESUS (PA-C) is a healthcare provider. based in Orange city, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9119050 (FL). The NPI Number for ALONDRA ORTIZ DE JESUS (PA-C) is 1740019371

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ALONDRA ORTIZ DE JESUS (PA-C)
NPI
1740019371
Phone
(786) 266-8850
Address
1217 SOUTHERLY PARC LN APT 7109
Enumeration Date
31 July 2024
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Secondary Phone
4077882000
Graduation Year
2024 (2 years ago)
PAC ID
8224579206
Group Practice PAC ID
6406849256
Professional Enrollment ID
I20240917004900
Address ID
FL327144136AL440XX436X401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ALONDRA ORTIZ DE JESUS (PA-C)

  • 1217 SOUTHERLY PARC LN APT 7109

    ORANGE CITY, FL 327638071

    Phone: (786) 266-8850

    Type: Mailing

  • 1200 DELTONA BLVD APT 40A

    DELTONA, FL 327256386

    Phone: (386) 202-6025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($155).

Total Amount

$198

General + Research + Ownership

Payments

6

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-09-17

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
I20240917004900IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32763)

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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: 6406849256View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
-FL
Physician AssistantFL
Family PracticeFL
-FL
Physician AssistantFL
Emergency MedicineFL
-FL
Family Practice, Obstetrics/GynecologyFL

Reviews

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Frequently asked questions

What NPI should I save for ALONDRA ORTIZ DE JESUS (PA-C)?
Save NPI 1740019371 if you need a stable reference for ALONDRA ORTIZ DE JESUS (PA-C).
Is ALONDRA ORTIZ DE JESUS (PA-C) active in the national directory?
ALONDRA ORTIZ DE JESUS (PA-C)'s public NPI profile is in an active state.
Does ALONDRA ORTIZ DE JESUS (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for ALONDRA ORTIZ DE JESUS (PA-C). Clinical services aligned with this taxonomy classification.
Does ALONDRA ORTIZ DE JESUS (PA-C) practice in Florida?
You will see Orange City, Florida on file for ALONDRA ORTIZ DE JESUS (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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