KAROLJOHN SIMPAUCO DELARA NURSE PRACTITIONER
NPI 1306478896
Nurse Practitioner - Family in Chula Vista, CA

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment
9.45/100
CMS Quality Rating
1692 FLEISHBEIN ST, CHULA VISTA, CA 91913(850) 292-7234(619) 404-4113 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Mar 6, 2022, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

About Karoljohn Simpauco Delara Nurse Practitioner NPPES

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

KAROLJOHN SIMPAUCO DELARA NURSE PRACTITIONER (NPI 1306478896) is an individual family provider in Chula Vista, California, licensed in California (95013929) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306478896
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKAROLJOHN SIMPAUCO DELARACredential: NURSE PRACTITIONER
Location Address1692 FLEISHBEIN STChula Vista, CA 91913-4332
Mailing Address1692 Fleishbein StreetChula Vista, CA 91913-2931 · (850) 292-7234 · Fax (619) 404-4113
Fax(619) 404-4113
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 12, 2020
Last NPPES UpdateOctober 31, 20244 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1306478896 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 CA · 95013929
1692 FLEISHBEIN ST, Chula Vista, CA 91913

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karoljohn Simpauco Delara Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890114789
PECOS Enrollment IDI20200925001444
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

7

Medicare enrollment records show Karoljohn Delara reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
553 F ST
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
Family Medicine
450 FOURTH AVE., STE 408
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Jean Rizkallah, M.D., Inc
  • 6 clinicians in this Medicare group
Pain Medicine
502 EUCLID AVE STE 200
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Family
2760 FLETCHER PKWY
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Family
511 N HOLLYWOOD WAY
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Omar Osman Practice, LLC
  • 53 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.

Areas of Expertise CMS Part B claims 7

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.
408 services102 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
107 services26 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.
58 services25 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
43 services41 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
30 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91913 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

9.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost31.5

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
2 suppliers14 claims14 services$988.11 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832
DME-Orthotic Devices · category DF011N
1 supplier13 claims16 services$570.78 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
1 supplier14 claims18 services$103.66 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$734.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Karoljohn Delara's NPI number?

The NPI number for Karoljohn Delara is 1306478896. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Karoljohn Delara located?

Karoljohn Delara practices at 1692 Fleishbein St, Chula Vista, CA 91913. The listed phone number is (850) 292-7234.

What is Karoljohn Delara's specialty?

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

Is Karoljohn Delara enrolled in Medicare?

Yes. Karoljohn Delara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karoljohn Delara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karoljohn Delara reassigns Medicare benefits to 7 organizations: Henry A. Richardson, MD A Medical Corporation (Chula Vista, CA), Jean Rizkallah, MD, Inc (Chula Vista, CA), Brenton D. Wynn, MD Inc (National City, CA), Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA) and 2 more organizations, listed in the Medicare section above. 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 Karoljohn Delara'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 Karoljohn Delara was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.