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

Andrew Clavijo, APRN

Individual provider Registered Nurse · NPI 1639907512

Andrew Clavijo, APRN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Matrix Mental Health Ltd, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4840 N Marine Dr
Chicago, IL 60640-7860
Phone: (773) 878-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209030321 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041489081 (IL)

Record details

NPI number1639907512
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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 Matrix Mental Health Ltd — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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