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Andre Luiz Bezerra , FNP

Nurse Practitioner β€’ Grants Pass, OR

Active NPI 1093528655 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1701 Nw Hawthorne Ave
Grants Pass, OR 975261051

Call 5414724777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Telephone 5414724777
Fax 5414711439
Organization at the Same NPPES Address or Phone
Siskiyou Community Health Center, Inc Facility NPI 1427046903

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cave Junction, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Mayo Clinic Jacksonville; Siskiyou Community Health Center Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Andre Bezerra has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Andre Bezerra as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grants Pass and Oregon

12 active clinicians are listed under Nurse Practitioner with a practice address in Grants Pass, OR (599 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grants Pass

16.7% of these 12 clinicians have the CMS telehealth indicator.

75% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OR 10053410

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500867922 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260331004447

Enrollment State Jurisdiction

OR

PECOS Control ID

0749700359

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Siskiyou Community Health Center Inc

1701 Nw Hawthorne Ave, Grants Pass, OR 975261051

Phone: 5414724777

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

25647 Redwood Hwy

Cave Junction, OR 975239332

Phone: 5415924111

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1093110306

DNPAPRNNP

NPI 1578966776

Registered Pharmacist

Dawn Cogliser

Nurse Practitioner

NPI 1295152585
Dr. Glendon Cook , MD

Family Medicine

NPI 1952343816

Doctor of Medicine (M.D.)

Dr. Meg Dotson , MD

Family Medicine

NPI 1407598220

Doctor of Medicine (M.D.)

Dr. Stanton Dotson , DDS

Dentist - General Practice

NPI 1962071662

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 03, 2026

Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414724777)

πŸ“
Updated Business Mailing Address April 03, 2026

Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414724777)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2026

Nurse Practitioner (license number reported to NPPES: OR 10053410)

πŸ“
Updated Business Mailing Address February 21, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2025

Nurse Practitioner (license number reported to NPPES: FL APRN11037737)

βœ…
NPI Profile Active February 07, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸ“
Business Mailing Address (Initial Record) February 07, 2025

Registered at 1704 NW 13TH TER, CAPE CORAL, FL 339935982 (Tel: 8017120332)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2025

Recorded as ANDRE BEZERRA, FNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration January 28, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093528655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2025
Last Update: April 03, 2026
Sole Proprietor: No

Other Nurse Practitioners in Grants Pass

All Nurse Practitioners in Grants Pass

Mailing Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Phone: 5414724777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.