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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Delacruz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Obesity Medicine
14215 BALLANTYNE CORPORATE PL STE 240
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1629516067 (704) 316-7760
Carolina Medicorp Enterprises, LLC
11 mi
Urgent Care
445 S KINGS DR
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1760950646 (980) 308-0141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Lisa Delacruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Delacruz reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and Carolina Medicorp Enterprises, LLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Delacruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.