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DR. JACQUELINE STEPHANIE DE LA CRUZ MD
NPI 1467276295
General Practice in Port St Lucie, FL

Active since November 08, 2024PECOS EnrolledAccepts Medicare Assignment
9109 S US HIGHWAY 1 STE 101, PORT ST LUCIE, FL 34952(772) 398-1305(772) 398-1307 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Nov 8, 2024 (2 updates tracked since 2024).

About Dr. Jacqueline Stephanie De La Cruz Md NPPES

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

DR. JACQUELINE STEPHANIE DE LA CRUZ MD (NPI 1467276295) is an individual general practice provider in Port St Lucie, Florida, licensed in Florida (ACN1719) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port St Lucie, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467276295
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JACQUELINE STEPHANIE DE LA CRUZCredential: MD
Location Address9109 S US HIGHWAY 1 STE 101Port St Lucie, FL 34952-3453
Mailing AddressPo Box 4189Deerfield Beach, FL 33442-4189 · (954) 363-9582 · Fax (954) 363-9663
Phone(772) 398-1305
Fax(772) 398-1307
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 8, 2024
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1467276295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1719
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9109 S US HIGHWAY 1 STE 101, Port St Lucie, FL 34952
Open in Google Maps ↗

Secondary Practice Location 1

Location 1672 SW Prima Vista Blvd Ste 101Port St Lucie, FL 34983-1820 · Phone (772) 905-2555 · Fax (772) 336-8153

Other Identifiers 1

Medicaid126547500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Jacqueline Stephanie De La Cruz Md 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 ID3072039437
PECOS Enrollment IDI20250429001083
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 Jacqueline De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Consultants Of Florida, LLC
66 mi
Internal Medicine
1950 W HILLSBORO BLVD STE 103
Deerfield Beach, FL 33442
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group
NPI 1619169810 (954) 408-8960

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

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.

MIGUEL ANGEL GONZALEZ PEREZ MD
General Practice
9109 S US HIGHWAY 1 STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1305
MEDICAL CONSULTANTS OF FLORIDA, LLC
Non-Pharmacy Dispensing Site
9109 S US HIGHWAY 1 STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1305
DAILEN COLLAZO APRN
Nurse Practitioner (Family)
9109 S US HIGHWAY 1 STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1305

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 Jacqueline De La Cruz's NPI number?

The NPI number for Jacqueline De La Cruz is 1467276295. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Jacqueline De La Cruz located?

Jacqueline De La Cruz practices at 9109 S Us Highway 1 Ste 101, Port St Lucie, FL 34952. The listed phone number is (772) 398-1305.

What is Jacqueline De La Cruz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jacqueline De La Cruz enrolled in Medicare?

Yes. Jacqueline De La Cruz 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 organization bills Medicare for Jacqueline De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline De La Cruz reassigns Medicare benefits to Medical Consultants Of Florida, LLC (Deerfield Beach, FL). 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 Jacqueline De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline De La Cruz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Jacqueline De La 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 Jacqueline De La Cruz was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.