GEMMA DELA CRUZ
NPI 1144638487
Nurse Practitioner - Family in Aurora, IL

Active since July 31, 2014PECOS Enrolled
400 N HIGHLAND AVE, AURORA, IL 60506(630) 892-4355 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1144638487
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGEMMA DELA CRUZ
Location Address400 N HIGHLAND AVEAurora, IL 60506-3814
Mailing Address400 N Highland AveAurora, IL 60506-3814 · (630) 892-4355
Sole ProprietorYes
Enumeration DateJuly 31, 2014
✔ NPI 1144638487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209011671
400 N HIGHLAND AVE, Aurora, IL 60506

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).

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 Gemma Dela Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
1333 BURR RIDGE PKWY STE 200
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.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
71%119 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
400 N HIGHLAND AVE
AURORA, IL 60506
Pediatrics
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Family)
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Psychiatric/Mental Health)
400 N HIGHLAND AVE
AURORA, IL 60506
Registered Nurse
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Family)
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Psychiatric/Mental Health)
400 N HIGHLAND AVE
AURORA, IL 60506
Psychiatry & Neurology (Psychiatry)
400 N HIGHLAND AVE
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.