Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093528655 Individual Practitioner Male Practitioner

Andre Luiz Bezerra , FNP

Nurse Practitioner • Grants Pass, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andre Bezerra, FNP is a certified Nurse Practitioner practicing in Grants Pass, OR. With approximately 2 years of clinical experience since completing medical education in 2024, Andre Bezerra delivers high-quality medical care to the local community at 1701 NW HAWTHORNE AVE.

Andre Bezerra maintains professional affiliations with Mayo Clinic Jacksonville, Siskiyou Community Health Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Telephone 5414724777
Fax 5414711439
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grants Pass, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Grants Pass, OR (615 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bezerra (2 Years) 2 Yrs
Grants Pass Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500867922 (OR)

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
NPI 1053042408

Doctor of Osteopathic Medicine (D.O.)

NPI 1093110306

DNPAPRNNP

Elizabeth Mabry , CSWI

Social Worker - Clinical

NPI 1194221820
NPI 1205045564

Doctor of Osteopathic Medicine (D.O.)

NPI 1225191018

Doctor of Dental Surgery

Gretchen Sauder , NP-C

Nurse Practitioner - Family

NPI 1225426273

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 03, 2026

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

📍
Updated Business Mailing Address April 03, 2026

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

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

Nurse Practitioner (License #10053410 in OR)

📍
Updated Business Mailing Address February 21, 2025

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

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

Nurse Practitioner (License #APRN11037737 in FL)

NPI Profile Active February 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2025

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

📍
Updated Business Mailing Address February 07, 2025

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

👤
Provider Name / Credentials Updated February 07, 2025

Recorded as ANDRE BEZERRA, FNP

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1701 Nw Hawthorne Ave

Grants Pass, OR 975261051

Phone: 5414724777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.