ANDRE LUIZ BEZERRA FNP
NPI 1093528655
Nurse Practitioner in Grants Pass, OR

Q: What is Andre Bezerra's NPI number?

The NPI number for Andre Bezerra is 1093528655. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Andre Bezerra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andre Bezerra was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since January 28, 2025PECOS EnrolledAccepts Medicare Assignment

1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 472-4777(541) 471-1439 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2026, Mar 24, 2026, Feb 21, 2025 and 1 more (4 updates tracked since 2025).

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About Andre Luiz Bezerra Fnp NPPES

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

ANDRE LUIZ BEZERRA FNP (NPI 1093528655) is an individual nurse practitioner in Grants Pass, Oregon, licensed in Oregon (10053410) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cave Junction, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093528655

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameANDRE LUIZ BEZERRACredential: FNP

Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 472-4777 · Fax (541) 471-1439

Phone(541) 472-4777

Fax(541) 471-1439

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 28, 2025

Last NPPES UpdateApril 3, 20264 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1093528655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 10053410

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

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Secondary Practice Location 1

Location 125647 Redwood HwyCave Junction, OR 97523-9332 · Phone (541) 592-4111 · Fax (541) 592-3916

Other Identifiers 1

Medicaid500867922OR

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

Andre Luiz Bezerra Fnp 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 ID749700359

PECOS Enrollment IDI20250226002911, I20260331004447

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 97526 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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