LIEZL DE LA CRUZ CPNP
NPI 1730820317
Nurse Practitioner - Pediatrics in Atlanta, GA
About Liezl De La Cruz Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIEZL DE LA CRUZ CPNP (NPI 1730820317) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (293015) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liezl De La Cruz Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Liezl De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30329 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 Liezl De La Cruz's NPI number?
The NPI number for Liezl De La Cruz is 1730820317. It was assigned to this individual provider in the NPPES registry on April 6, 2022.
Where is Liezl De La Cruz located?
Liezl De La Cruz practices at 1400 Tullie Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-5497.
What is Liezl De La Cruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Liezl De La Cruz enrolled in Medicare?
Yes. Liezl De La Cruz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Liezl De La Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Liezl De La Cruz reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). 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 Liezl De La Cruz'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 Liezl De La Cruz was last updated on April 7, 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.
# Liezl De La Cruz, CPNP · NPI 1730820317
Pediatrics physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1730820317 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 293015 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 TULLIE RD NE, Atlanta, GA 30329-2309
- **Phone:** (404) 785-5497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730820317) · Data from the CMS NPPES public registry.