LIEZL DE LA CRUZ CPNP
NPI 1730820317
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: 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.

Q: 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.

Q: 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.

Active since April 06, 2022PECOS Enrolled

1400 TULLIE RD NE, ATLANTA, GA 30329(404) 785-5497 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2024, Apr 6, 2022 (2 updates tracked since 2022).

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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

NPI1730820317

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLIEZL DE LA CRUZCredential: CPNP

Location Address1400 TULLIE RD NEAtlanta, GA 30329-2309

Mailing Address1458 Meadowcreek CtDunwoody, GA 30338-3803 · (678) 612-3606

Phone(404) 785-5497

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateApril 7, 20242 updates tracked since enumeration

NPPES CertifiedApril 7, 2024

✔ NPI 1730820317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · 293015

1400 TULLIE RD NE, Atlanta, GA 30329

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Secondary Practice Location 1

Location 149 Jesse Hill Jr Dr SEAtlanta, GA 30303-3049 · Phone (404) 778-1450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liezl De La Cruz Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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.

ANH VAN TRIEU PA-C

Physician Assistant