Lisa M Delacruz, PNP - Medicare Nurse Practitioner in Charlotte, NC

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Lisa M Delacruz, PNP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. Her current practice location is 14215 Ballantyne Corporate Pl, Suite 130, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-1950.

Lisa M Delacruz is licensed to practice in North Carolina (license number 5006132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063758142.

Contact Information

Lisa M Delacruz, PNP
14215 Ballantyne Corporate Pl, Suite 130,
Charlotte, NC 28277-3670
(704) 384-1950
(704) 384-1955

Map and Direction




Provider's Profile

Full NameLisa M Delacruz
GenderFemale
SpecialityNurse Practitioner
Location14215 Ballantyne Corporate Pl, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063758142
  • Provider Enumeration Date: 12/18/2012
  • Last Update Date: 10/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830483627
  • Enrollment ID: I20180130001746

Medical Identifiers

Medical identifiers for Lisa M Delacruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063758142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 20122290 (Ohio)Secondary
363L00000XNurse Practitioner 5006132 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa M Delacruz allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Delacruz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa M Delacruz, PNP
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-1440		Lisa M Delacruz, PNP
14215 Ballantyne Corporate Pl, Suite 130,
Charlotte, NC 28277-3670

Ph: (704) 384-1950

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.