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JOHANNA CAMILLE DE JESUS FNP-C
NPI 1821711169
Nurse Practitioner in Tustin, CA

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
14940 CHERRY GROVE CT, TUSTIN, CA 92780(626) 377-0642 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 9, 2025, Jan 9, 2023, Sep 21, 2022 (3 updates tracked since 2022).

About Johanna Camille De Jesus Fnp-c NPPES

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

JOHANNA CAMILLE DE JESUS FNP-C (NPI 1821711169) is an individual nurse practitioner in Tustin, California, licensed in Texas (1119112) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821711169
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOHANNA CAMILLE DE JESUSCredential: FNP-C
Location Address14940 CHERRY GROVE CTTustin, CA 92780-6115
Mailing Address14940 Cherry Grove CtTustin, CA 92780-6115 · (626) 377-0642
Phone(626) 377-0642
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 21, 2022
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1821711169 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
Licenses✔ Licensed in TX · 1119112✔ Licensed in OK · 211096✔ Licensed in CA · 95013358
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95013358 (CA)
14940 CHERRY GROVE CT, Tustin, CA 92780
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Secondary Practice Locations 2

Location 112966 Euclid St Ste 110Garden Grove, CA 92840-9203 · Phone (720) 204-5760
Location 25605 N MacArthur Blvd Fl 10Irving, TX 75038-2617 · Phone (833) 595-3559

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

Johanna Camille De Jesus Fnp-c 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 ID2668842550
PECOS Enrollment IDI20230111000652
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 6

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.

Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed ex G9488
A remote in-home visit is a service for established patients part of a specific Medicare-approved program. It involves a thorough evaluation and management of your health condition. This service includes at least 2 of 3 key components: a detailed medical history review, a comprehensive examination, or a complex decision-making process.
87 services61 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
58 services37 patients
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused histo G9487
This is a remote health check-up from your home, part of a special Medicare program. It focuses on a detailed review of your health history, and requires at least 2 out of 3 key components: evaluation, management, and an expanded problem-focused history.
35 services29 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
24 services24 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services18 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Johanna De Jesus's NPI number?

The NPI number for Johanna De Jesus is 1821711169. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Johanna De Jesus located?

Johanna De Jesus practices at 14940 Cherry Grove Ct, Tustin, CA 92780. The listed phone number is (626) 377-0642.

What is Johanna De Jesus's specialty?

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

Is Johanna De Jesus enrolled in Medicare?

Yes. Johanna De Jesus 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 Johanna De Jesus was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.