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

MS. Crystal Dejesus, PA-C

Individual provider Physician Assistant · NPI 1063775765

MS. Crystal Dejesus, PA-C is a Physician Assistant in Mount Dora, Florida. Qualified in 2011, 15 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

19735 US Highway 441 Fl 1
Mount Dora, FL 32757-2204
Phone: (352) 735-5700
Fax: (352) 735-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828-4511 — (321) 235-0692

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106616 (FL)

Record details

NPI number1063775765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Dora