JAMIE LEE DELACRUZ AGNP
NPI 1679104236
Nurse Practitioner - Gerontology in Warwick, RI
About Jamie Lee Delacruz Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE LEE DELACRUZ AGNP (NPI 1679104236) is an individual gerontology provider in Warwick, Rhode Island, licensed in Rhode Island (APRN02245) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jamie Lee Delacruz Agnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jamie Delacruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Holliston, MA 01746
- Reassigned Medicare billing, Rhode Island enrollment
- 3 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Rhode Island enrollment
- 52 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Rhode Island enrollment
- 53 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Rhode Island enrollment
- 52 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jamie Delacruz's NPI number?
The NPI number for Jamie Delacruz is 1679104236. It was assigned to this individual provider in the NPPES registry on January 31, 2020.
Where is Jamie Delacruz located?
Jamie Delacruz practices at 475 Kilvert St, Warwick, RI 02886. The listed phone number is (401) 737-6900.
What is Jamie Delacruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jamie Delacruz enrolled in Medicare?
Yes. Jamie Delacruz 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 Jamie Delacruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Delacruz reassigns Medicare benefits to 4 organizations: Maestro Medical Group, PLLC (Holliston, MA), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) and Healthdrive Medical Services Southeast LLC (Columbia, MD). 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 Jamie Delacruz'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 Jamie Delacruz was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Jamie Lee Delacruz, AGNP · NPI 1679104236
Gerontology physician in Warwick, Rhode Island. Individual provider, active in the CMS NPPES registry since January 31, 2020.
## Identity
- **NPI:** 1679104236 (Entity type: Individual)
- **Enumerated:** January 31, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN02245 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 475 KILVERT ST, Warwick, RI 02886-1379
- **Phone:** (401) 737-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Maestro Medical Group, PLLC (NPI 1275367591, Holliston, MA); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679104236) · Data from the CMS NPPES public registry.