GEMMA DELA CRUZ
NPI 1144638487
Nurse Practitioner - Family in Aurora, IL
About Gemma Dela Cruz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEMMA DELA CRUZ (NPI 1144638487) is an individual family provider in Aurora, Illinois, licensed in Illinois (209011671) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gemma Dela Cruz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gemma Dela Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burr Ridge, IL 60527
- Reassigned Medicare billing, Illinois enrollment
- 183 clinicians in this Medicare group
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 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, IL 60506
AURORA, IL 60506
AURORA, IL 60506
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 Gemma Dela Cruz's NPI number?
The NPI number for Gemma Dela Cruz is 1144638487. It was assigned to this individual provider in the NPPES registry on July 31, 2014.
Where is Gemma Dela Cruz located?
Gemma Dela Cruz practices at 400 N Highland Ave, Aurora, IL 60506. The listed phone number is (630) 892-4355.
What is Gemma Dela Cruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gemma Dela Cruz enrolled in Medicare?
Yes. Gemma Dela Cruz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gemma Dela Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gemma Dela Cruz reassigns Medicare benefits to Paragon Clinical LLC (Burr Ridge, IL). 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 Gemma Dela Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gemma Dela Cruz accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Gemma Dela Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gemma Dela Cruz was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.