Andy Deetjeen
NPI 1053038976 · Physician Assistant · Lauderhill, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andy Deetjeen is a Physician Assistant provider in Lauderhill, FL (NPI 1053038976).
Provider details
- NPI number
- 1053038976
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-21
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Frequently asked questions
- What is Andy Deetjeen's NPI number?
- Andy Deetjeen's National Provider Identifier (NPI) is 1053038976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andy Deetjeen's specialty?
- Andy Deetjeen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andy Deetjeen located?
- Andy Deetjeen's practice location on file with NPPES is 2451 Nw 41st Ave Apt 408, Lauderhill, FL 33313-3769.
- What is Andy Deetjeen's phone number?
- The practice phone number listed in the NPPES registry for Andy Deetjeen is (646) 830-7804.
- Does Andy Deetjeen accept Medicare?
- Andy Deetjeen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andy Deetjeen's NPI active?
- Yes — Andy Deetjeen's NPI (1053038976) is active in the NPPES registry as of the last update on 2023-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.