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

Active since January 21, 2014PECOS Enrolled
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: October 18, 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 and maintains a secondary practice location in Chula Vista.

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
Phone(619) 325-1161
Fax(619) 325-1717
Sole ProprietorNo
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
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ijose Beverly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ijose Beverly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Algos Inc., A Medical Corporation
Same address
Pain Medicine
3434 MIDWAY DR STE 2001
San Diego, CA 92110
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group
NPI 1326425661 (619) 325-1161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. MICHAEL FINNERN JR. M.D.
Pain Medicine (Interventional Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
DAVID L. FLOOD M.D.
Orthopaedic Surgery
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
TARA MEGAN SCHUELLER PA-C
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
ALGOS INC., A MEDICAL CORPORATION
Pain Medicine (Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
DR. BRIAN VANFOSSEN
Psychologist (Clinical)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
MS. KEERSTIN NICOLE BEITTER PA-C
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
MADELEINE ANADASE FERNANDEZ PA-C
Physician Assistant
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161
CLAYTON ALEXANDER VARGA MD
Anesthesiology (Pain Medicine)
3434 MIDWAY DR STE 2001
SAN DIEGO, CA 92110
San Diego County (619) 325-1161

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 enrollment system.

Which organization bills Medicare for Ijose Beverly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ijose Beverly reassigns Medicare benefits to Algos Inc., A Medical Corporation (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ijose Beverly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ijose Beverly was last updated on July 31, 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.