IJOSE BEVERLY NP
NPI 1689097065
Nurse Practitioner in San Diego, CA

Active since January 21, 2014PECOS EnrolledAccepts Medicare Assignment
3434 MIDWAY DR STE 2001, SAN DIEGO, CA 92110(619) 325-1161(619) 325-1717 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ijose Beverly Np NPPES

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

IJOSE BEVERLY NP (NPI 1689097065) is an individual nurse practitioner in San Diego, California, licensed in California (95000198) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chula Vista, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689097065
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameIJOSE BEVERLYCredential: NP
Location Address3434 MIDWAY DR STE 2001San Diego, CA 92110-4924
Mailing Address3434 Midway Dr Ste 2001San Diego, CA 92110-4924 · (619) 325-1161 · Fax (619) 325-1717
Fax(619) 325-1717
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 21, 2014
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
NPI 1689097065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95000198
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 806970 (CA)
3434 MIDWAY DR STE 2001, San Diego, CA 92110

Secondary Practice Location 1

Location 1340 Fourth Ave Ste 19Chula Vista, CA 91910-3898 · Phone (619) 761-5308 · Fax (619) 591-1910

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

Ijose Beverly Np 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 ID8729527866
PECOS Enrollment IDI20240903002673
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 92110 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 11

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

Pain Medicine (Interventional Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Orthopaedic Surgery
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Pain Medicine (Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Psychologist (Clinical)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
Anesthesiology (Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110

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 Ijose Beverly's NPI number?

The NPI number for Ijose Beverly is 1689097065. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Ijose Beverly located?

Ijose Beverly practices at 3434 Midway Dr Ste 2001, San Diego, CA 92110. The listed phone number is (619) 325-1161.

What is Ijose Beverly's specialty?

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

Is Ijose Beverly enrolled in Medicare?

Yes. Ijose Beverly 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 Ijose Beverly was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.