1. Home
  2. Directory
  3. New Jersey
  4. Bloomfield
  5. Nurse Practitioner
  6. NPI Profile

KETRICE-ANN DELONNAY
NPI 1073121596
Nurse Practitioner - Psychiatric/Mental Health in Bloomfield, NJ

Active since July 21, 2020PECOS Enrolled
91.25/100
CMS Quality Rating
201 WASHINGTON ST, BLOOMFIELD, NJ 07003(347) 983-9485 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ketrice-ann Delonnay NPPES

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

KETRICE-ANN DELONNAY (NPI 1073121596) is an individual psychiatric/mental health provider in Bloomfield, New Jersey, licensed in New York (403057) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073121596
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKETRICE-ANN DELONNAY
Location Address201 WASHINGTON STBloomfield, NJ 07003-2406
Mailing Address201 Washington StBloomfield, NJ 07003-2406 · (347) 983-9485
Phone(347) 983-9485
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1073121596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403057
201 WASHINGTON ST, Bloomfield, NJ 07003
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17559 263rd StGlen Oaks, NY 11004-1150 · Phone (718) 470-8100
Location 2195 BroadwayBrooklyn, NY 11211-6128 · Phone (929) 777-0173

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketrice-ann Delonnay 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 Reassignment

Medicare enrollment records show Ketrice-ann Delonnay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
26 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 07003 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Ketrice-ann Delonnay's NPI number?

The NPI number for Ketrice-ann Delonnay is 1073121596. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Ketrice-ann Delonnay located?

Ketrice-ann Delonnay practices at 201 Washington St, Bloomfield, NJ 07003. The listed phone number is (347) 983-9485.

What is Ketrice-ann Delonnay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ketrice-ann Delonnay enrolled in Medicare?

Yes. Ketrice-ann Delonnay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ketrice-ann Delonnay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketrice-ann Delonnay reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Ketrice-ann Delonnay'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 Ketrice-ann Delonnay was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.