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: July 26, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 2

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

General Practice
9109 S US HIGHWAY 1 STE 101
PORT ST LUCIE, FL 34952
Non-Pharmacy Dispensing Site
9109 S US HIGHWAY 1 STE 101
PORT ST LUCIE, FL 34952

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.

What insurance does Jacqueline De La Cruz accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 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 with the weekly NPPES data releases published by CMS.