DE LA CRUZ HEALTHCARE CORP
NPI 1124704507
Nurse Practitioner - Psychiatric/Mental Health in Cape Coral, FL

Active since June 22, 2023
971 CHIQUITA BLVD S, CAPE CORAL, FL 33991(786) 351-4243 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Jun 22, 2023 (2 updates tracked since 2023).

About De La Cruz Healthcare Corp NPPES

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

DE LA CRUZ HEALTHCARE CORP (NPI 1124704507) is a healthcare organization registered as a psychiatric/mental health in Cape Coral, Florida and active in the NPI registry since June 2023. The organization lists Mairelis De La Cruz Hernandez, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124704507
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDE LA CRUZ HEALTHCARE CORP
Location Address971 CHIQUITA BLVD SCape Coral, FL 33991-2143
Mailing Address971 Chiquita Blvd SCape Coral, FL 33991-2143 · (786) 351-4243
Organization SubpartNo
Authorized OfficialMairelis De La Cruz HernandezNurse Practitioner · (786) 351-4243
Enumeration DateJune 22, 2023
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1124704507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
971 CHIQUITA BLVD S, Cape Coral, FL 33991

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De La Cruz Healthcare Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to De La Cruz Healthcare Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588295919
971 CHIQUITA BLVD S
Cape Coral, FL 33991
(786) 351-4243
✔ PECOS✔ Accepts MedicareSame address

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

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 De La Cruz Healthcare Corp's NPI number?

The NPI number for De La Cruz Healthcare Corp is 1124704507. It was assigned to this organization in the NPPES registry on June 22, 2023.

Where is De La Cruz Healthcare Corp located?

De La Cruz Healthcare Corp is located at 971 Chiquita Blvd S, Cape Coral, FL 33991. The listed phone number is (786) 351-4243.

What is De La Cruz Healthcare Corp's specialty?

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

Is De La Cruz Healthcare Corp enrolled in Medicare?

Yes. De La Cruz Healthcare Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through De La Cruz Healthcare Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to De La Cruz Healthcare Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for De La Cruz Healthcare Corp was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.