Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Luiz Bezerra, FNP

Individual provider Nurse Practitioner · NPI 1093528655

Andre Luiz Bezerra, FNP is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2024, 2 years ago. Practices with Siskiyou Community Health Center Inc, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 472-4777
Fax: (541) 471-1439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25647 Redwood Hwy, Cave Junction, OR 97523-9332 — (541) 592-4111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10053410 (OR)

Record details

NPI number1093528655
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 28, 2025
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Siskiyou Community Health Center Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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