Johanna Camille De Jesus, FNP-C - Medicare Nurse Practitioner in Tustin, CA

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Johanna Camille De Jesus, FNP-C is a medicare enrolled "Nurse Practitioner" in Tustin, California. Her current practice location is 14940 Cherry Grove Ct, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (626) 377-0642.

Johanna Camille De Jesus is licensed to practice in Texas (license number 1119112) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821711169.

Contact Information

Johanna Camille De Jesus, FNP-C
14940 Cherry Grove Ct,
Tustin, CA 92780-6115
(626) 377-0642
Not Available

Map and Direction




Provider's Profile

Full NameJohanna Camille De Jesus
GenderFemale
SpecialityNurse Practitioner
Location14940 Cherry Grove Ct, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821711169
  • Provider Enumeration Date: 09/21/2022
  • Last Update Date: 01/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2668842550
  • Enrollment ID: I20230111000652

Medical Identifiers

Medical identifiers for Johanna Camille De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821711169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 211096 (Oklahoma)Secondary
363L00000XNurse Practitioner 95013358 (California)Secondary
363LF0000XNurse Practitioner - Family 95013358 (California)Secondary
363L00000XNurse Practitioner 1119112 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johanna Camille De Jesus allows following entities to bill medicare on her behalf.
Entity NameSouthern California Kidney Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205934783
PECOS PAC ID: 6103811286
Enrollment ID: O20040417000613

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Camille De Jesus is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johanna Camille De Jesus, FNP-C
14940 Cherry Grove Ct,
Tustin, CA 92780-6115

Ph: (626) 377-0642		Johanna Camille De Jesus, FNP-C
14940 Cherry Grove Ct,
Tustin, CA 92780-6115

Ph: (626) 377-0642

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.