LISA M. DELACRUZ PNP
NPI 1063758142
Nurse Practitioner in Charlotte, NC

Q: What is Lisa Delacruz's NPI number?

The NPI number for Lisa Delacruz is 1063758142. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Q: What is Lisa Delacruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Delacruz was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2012PECOS Enrolled

14215 BALLANTYNE CORPORATE PL, SUITE 130, CHARLOTTE, NC 28277(704) 384-1950(704) 384-1955 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Apr 27, 2017 (2 updates tracked since 2017).

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About Lisa M. Delacruz Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M. DELACRUZ PNP (NPI 1063758142) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5006132) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063758142

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA M. DELACRUZCredential: PNP

Location Address14215 BALLANTYNE CORPORATE PL, SUITE 130Charlotte, NC 28277-3670

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1440 · Fax (704) 384-1452

Phone(704) 384-1950

Fax(704) 384-1955

Sole ProprietorNo

Enumeration DateDecember 18, 2012

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2020

✔ NPI 1063758142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5006132

Definition

(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.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 20122290 (OH)

14215 BALLANTYNE CORPORATE PL, Charlotte, NC 28277

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M. Delacruz Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSONVILLE DIAGNOSTIC IMAGING LLC

Radiology (Diagnostic Radiology)

14215 BALLANTYNE CORPORATE PL
CHARLOTTE, NC 28277

Mecklenburg County (704) 384-1890

NOVANT HEALTH MEDICAL GROUP, LLC

Pediatrics

14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277

Mecklenburg County (704) 384-1950

MRS. ELIZABETH ANN BARTIS NP

Nurse Practitioner

14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277

Mecklenburg County (704) 384-1950

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

14215 BALLANTYNE CORPORATE PL, SUITE 110
CHARLOTTE, NC 28277

Mecklenburg County (704) 541-6117

NOVANT MEDICAL GROUP, INC

Internal Medicine (Sleep Medicine)

14215 BALLANTYNE CORPORATE PL, SUITE 240
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-5000

MS. SHARON MCVAY O'BRIEN PA-C

Physician Assistant

14215 BALLANTYNE CORPORATE PL, SUITE 230
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-5000

DR. KERRITH LYN JAECKEL M.D.

Pediatrics

14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277

Mecklenburg County (704) 384-1950

EMILY C CIOVACCO PA-C

Physician Assistant

14215 BALLANTYNE CORPORATE PL, SUITE 230
CHARLOTTE, NC 28277

Mecklenburg County (704) 316-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Delacruz's NPI number?

The NPI number for Lisa Delacruz is 1063758142. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Where is Lisa Delacruz located?

Lisa Delacruz practices at 14215 Ballantyne Corporate Pl Suite 130, Charlotte, NC 28277. The listed phone number is (704) 384-1950.

What is Lisa Delacruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Delacruz enrolled in Medicare?

Yes. Lisa Delacruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Delacruz was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.