Individual provider Active NPI

Donitha Delgado

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1154816940
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11043324 Issued in FL
Practice address
2407 SW Sansom LN
Port St Lucie, FL 34953-2680
Phone
(786) 310-8266
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11043324 FL Primary
Registered Nurse 163W00000X RN9649189 FL

Addresses

Primary practice location

2407 SW Sansom LN
Port St Lucie, FL 34953-2680

Mailing address

2407 SW Sansom LN
Port St Lucie, FL 34953-2680
Phone (786) 310-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406000865 FL Practitioner - Nurse Practitioner 9234604505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nxpath Neurology LLCGroup PAC ID 6800381757, 2 clinicians
Primary Care Solutions and More LLCGroup PAC ID 0244621910, 36 clinicians

Practice addresses (Care Compare)

1605 NW Federal Hwy
Stuart, FL 34994-9629
Phone (772) 480-5860

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 480-5860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9649189FLMDRegistered Nurse
APRN11043324FLMDNurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1154816940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SW SANSOM LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532680",
            "telephone_number": "786-310-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SW SANSOM LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532680",
            "telephone_number": "786-310-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "DONITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11043324",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9649189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.