JOSE QUEZADA – Psychiatric/Mental Health Nurse Practitioner, NPI 1487411195

JOSE QUEZADA is a healthcare provider. based in Suwanee, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN292069 (GA). The NPI Number for JOSE QUEZADA is 1487411195

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
JOSE QUEZADA
NPI
1487411195
Phone
(263) 678-2633
Address
1325 SATELLITE BLVD NW STE 400
Enumeration Date
29 February 2024
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
4082126206
Professional Enrollment ID
I20250624002125
Address ID
IL605232169Oa1211XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JOSE QUEZADA

  • 1325 SATELLITE BLVD NW STE 400

    SUWANEE, GA 300245299

    Phone: (263) 678-2633

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,022.

Total Amount is formed as General ($1,022) + Research ($0) + Ownership ($0) = $1,022.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($218).

Total Amount

$1,022

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,022

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2025-06-24

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
I20250624002125INurse PractitionerGATBD

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 30024)

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Reviews

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Frequently asked questions

Does JOSE QUEZADA have a public NPI I can cite?
Public records show JOSE QUEZADA under NPI 1487411195.
Quick check: is JOSE QUEZADA active?
Public NPPES data shows JOSE QUEZADA with an active NPI status right now.
Which specialty label fits JOSE QUEZADA?
NPPES ties JOSE QUEZADA to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JOSE QUEZADA in Suwanee, Georgia?
For routing, start with Suwanee, Georgia for JOSE QUEZADA, then verify phone and hours locally.
Why is information missing for JOSE QUEZADA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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