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ANDY DEETJEEN
NPI 1053038976
Physician Assistant in Lauderhill, FL

Active since October 21, 2022PECOS EnrolledAccepts Medicare Assignment
2451 NW 41ST AVE APT 408, LAUDERHILL, FL 33313(646) 830-7804 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Oct 21, 2022 (2 updates tracked since 2022).

About Andy Deetjeen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDY DEETJEEN (NPI 1053038976) is an individual physician assistant in Lauderhill, Florida and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053038976
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDY DEETJEEN
Location Address2451 NW 41ST AVE APT 408Lauderhill, FL 33313-3769
Mailing Address714 Nw 62nd StMiami, FL 33150-4332 · (786) 655-0529
Phone(646) 830-7804
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 21, 2022
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1053038976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2451 NW 41ST AVE APT 408, Lauderhill, FL 33313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andy Deetjeen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517493646
PECOS Enrollment IDI20241211004757
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andy Deetjeen's NPI number?

The NPI number for Andy Deetjeen is 1053038976. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Andy Deetjeen located?

Andy Deetjeen practices at 2451 NW 41st Ave Apt 408, Lauderhill, FL 33313. The listed phone number is (646) 830-7804.

What is Andy Deetjeen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andy Deetjeen enrolled in Medicare?

Yes. Andy Deetjeen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andy Deetjeen accept?

Health plans from UnitedHealthcare list Andy Deetjeen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andy Deetjeen was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.