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ERIC JACOB HENDRIK VAN DER LELIJ
NPI 1265972715
Nurse Practitioner - Family in Tucson, AZ

Active since March 02, 2017PECOS Enrolled
1669 W INA RD STE 101, TUCSON, AZ 85704(520) 795-6183 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2022, Sep 17, 2019, Mar 2, 2017 (3 updates tracked since 2017).

About Eric Jacob Hendrik Van Der Lelij NPPES

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

ERIC JACOB HENDRIK VAN DER LELIJ (NPI 1265972715) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP9944) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265972715
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERIC JACOB HENDRIK VAN DER LELIJ
Location Address1669 W INA RD STE 101Tucson, AZ 85704-1976
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (520) 795-6183
Phone(520) 795-6183
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 2, 2017
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1265972715 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 AZ · AP9944
1669 W INA RD STE 101, Tucson, AZ 85704
Open in Google Maps ↗

Secondary Practice Location 1

Location 13945 E Paradise Falls Dr, #201Tucson, AZ 85712-6683 · Phone (520) 290-5888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Jacob Hendrik Van Der Lelij is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193095206
PECOS Enrollment IDI20170724000676
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

5

Medicare enrollment records show Eric Van Der Lelij reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Post-Acute Medical Services 1 PC
99 mi
Hospitalist
2509 N 24TH ST
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 66 clinicians in this Medicare group
NPI 1093254419 (602) 789-0344
Arizona Acute Medical Services 1 PC
99 mi
Hospitalist
1930 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 302 clinicians in this Medicare group
NPI 1154860674 (602) 532-1000
Greater Phoenix Collaborative Care PC
106 mi
Clinic/Center
8041 N BLACK CANYON HWY
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 190 clinicians in this Medicare group
NPI 1750686614 (602) 249-0115
Nm Pacs 2 LLC
322 mi
Hospitalist
10101 LAGRIMA DE ORO RD NE
Albuquerque, NM 87111
  • Reassigned Medicare billing, Arizona enrollment
  • 64 clinicians in this Medicare group
NPI 1366928749 (865) 693-1000
Cs Pacs 3 West LLC
716 mi
Hospitalist
1002 W FREMONT AVE
Sunnyvale, CA 94087
  • Reassigned Medicare billing, Arizona enrollment
  • 56 clinicians in this Medicare group
NPI 1073378238 (408) 739-2383

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
442 services91 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
154 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
153 services45 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
59 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services31 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
34 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers49 claims49 services$14.12 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers56 claims56 services$66.91 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers105 claims106 services$13.74 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$23.62 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers32 claims32 services$8.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA B MILLER MD
Internal Medicine
1669 W INA RD STE 101
TUCSON, AZ 85704
Pima County (520) 795-6183
ERICA RENEE BAZUA FNP-C
Nurse Practitioner (Family)
1669 W INA RD STE 101
TUCSON, AZ 85704
Pima County (520) 795-6183
DR. JOHN MARTIN WADLEIGH D.O.
Family Medicine
1669 W INA RD STE 101
TUCSON, AZ 85704
Pima County (520) 573-0966

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 Eric Van Der Lelij's NPI number?

The NPI number for Eric Van Der Lelij is 1265972715. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Eric Van Der Lelij located?

Eric Van Der Lelij practices at 1669 W Ina Rd Ste 101, Tucson, AZ 85704. The listed phone number is (520) 795-6183.

What is Eric Van Der Lelij's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eric Van Der Lelij enrolled in Medicare?

Yes. Eric Van Der Lelij is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Van Der Lelij's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Van Der Lelij reassigns Medicare benefits to 5 organizations: Arizona Post-Acute Medical Services 1 PC (Phoenix, AZ), Arizona Acute Medical Services 1 PC (Phoenix, AZ), Greater Phoenix Collaborative Care PC (Phoenix, AZ), Nm Pacs 2 LLC (Albuquerque, NM) and Cs Pacs 3 West LLC (Sunnyvale, CA). 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 Eric Van Der Lelij's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Van Der Lelij accept?

Health plans from Blue Cross Blue Shield of Arizona list Eric Van Der Lelij 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 Eric Van Der Lelij was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.