JESSE JAMES VAN LEEUWEN-BELOUSSOW DNP, FNP-C, ACNP
NPI 1467738948
Nurse Practitioner in San Diego, CA

Q: What is Jesse Van Leeuwen-beloussow's NPI number?

The NPI number for Jesse Van Leeuwen-beloussow is 1467738948. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Q: What is Jesse Van Leeuwen-beloussow's specialty?

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

Active since October 27, 2011PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-6886 Get Directions Write a Review

NPPES record last updated: September 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jesse James Van Leeuwen-beloussow Dnp, Fnp-c, Acnp NPPES

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

JESSE JAMES VAN LEEUWEN-BELOUSSOW DNP, FNP-C, ACNP (NPI 1467738948) is an individual nurse practitioner in San Diego, California, licensed in California (NP20935) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467738948

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJESSE JAMES VAN LEEUWEN-BELOUSSOWCredential: DNP, FNP-C, ACNP

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(619) 543-6886

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 27, 2011

Last NPPES UpdateSeptember 21, 2017

✔ NPI 1467738948 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 CA · NP20935

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.

200 W ARBOR DR, San Diego, CA 92103

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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

Jesse James Van Leeuwen-beloussow Dnp, Fnp-c, Acnp 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 ID6901063338

PECOS Enrollment IDI20151027001241

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

90 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)