ANDREW CLAVIJO APRN
NPI 1639907512
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL
About Andrew Clavijo Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW CLAVIJO APRN (NPI 1639907512) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209030321) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Andrew Clavijo Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60640
CHICAGO, IL 60640
CHICAGO, IL 60640
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 Andrew Clavijo's NPI number?
The NPI number for Andrew Clavijo is 1639907512. It was assigned to this individual provider in the NPPES registry on July 23, 2024.
Where is Andrew Clavijo located?
Andrew Clavijo practices at 4840 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 878-9700.
What is Andrew Clavijo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Andrew Clavijo enrolled in Medicare?
Yes. Andrew Clavijo 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.
When was this NPI record last updated?
The NPPES record for Andrew Clavijo was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Andrew Clavijo, APRN · NPI 1639907512
Psychiatric/Mental Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1639907512 (Entity type: Individual)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209030321 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4840 N MARINE DR, Chicago, IL 60640-7860
- **Phone:** (773) 878-9700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639907512) · Data from the CMS NPPES public registry.