MELISSA O DE LA CERNA CRNP
NPI 1992002687
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since February 16, 2011PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
3400 SPRUCE ST, 4 DULLES BUILDING, PHILADELPHIA, PA 19104(215) 410-0319 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa O De La Cerna Crnp NPPES

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

MELISSA O DE LA CERNA CRNP (NPI 1992002687) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in California (NP95011201) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1992002687
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELISSA O DE LA CERNACredential: CRNP
Location Address3400 SPRUCE ST, 4 DULLES BUILDINGPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 4 Dulles BuildingPhiladelphia, PA 19104-4206 · (215) 410-0319
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 16, 2011
Last NPPES UpdateOctober 30, 2019
NPI 1992002687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in CA · NP95011201 Licensed in PA · SP011210
3400 SPRUCE ST, Philadelphia, PA 19104

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

Melissa O De La Cerna Crnp 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 ID7416188826
PECOS Enrollment IDI20240112002940
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

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 Melissa De La Cerna's NPI number?

The NPI number for Melissa De La Cerna is 1992002687. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Melissa De La Cerna located?

Melissa De La Cerna practices at 3400 Spruce St 4 Dulles Building, Philadelphia, PA 19104. The listed phone number is (215) 410-0319.

What is Melissa De La Cerna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melissa De La Cerna enrolled in Medicare?

Yes. Melissa De La Cerna 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 Melissa De La Cerna accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melissa De La Cerna 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.

Is Melissa De La Cerna affiliated with any hospitals?

According to CMS data, Melissa De La Cerna is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Melissa De La Cerna was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.