JOSE QUEZADA
NPI 1487411195
Nurse Practitioner - Psychiatric/Mental Health in Suwanee, GA

Q: What is Jose Quezada's NPI number?

The NPI number for Jose Quezada is 1487411195. It was assigned to this individual provider in the NPPES registry on February 29, 2024. The provider is also known as Mr. Jose D Quezada Rn.

Q: What is Jose Quezada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jose Quezada was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 29, 2024PECOS Enrolled

1325 SATELLITE BLVD NW STE 400, SUWANEE, GA 30024(263) 678-2633 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jose Quezada NPPES

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

JOSE QUEZADA (NPI 1487411195) is an individual psychiatric/mental health provider in Suwanee, Georgia, licensed in Georgia (RN292069) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487411195

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOSE QUEZADA

Location Address1325 SATELLITE BLVD NW STE 400Suwanee, GA 30024-5299

Mailing Address1325 Satellite Blvd Nw Ste 400Suwanee, GA 30024-5299 · (263) 678-2633

Phone(263) 678-2633

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 29, 2024

Last NPPES UpdateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1487411195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN292069

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN292069 (GA)

1325 SATELLITE BLVD NW STE 400, Suwanee, GA 30024

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Jose D Quezada Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Quezada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082126206

PECOS Enrollment IDI20250624002125

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 30024 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

SARAH CANDELARIA MS, NCC, LAPC

Counselor (Professional)