NPIMap

Individual provider Active NPI

Nancy Rose Delacruz, ARNP

  • Nurse Practitioner
  • Shawnee Mission, KS
National Provider Identifier
1568419653
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45769 Issued in KS
Practice address
8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204
Phone
(913) 831-2430
Fax
(913) 831-0108
NPI assigned
May 27, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45769 KS Primary

Addresses

Primary practice location

8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204

Mailing address

8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204
Phone (913) 831-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051028000889 MO Practitioner - Nurse Practitioner 5193742112 Reassigns benefits to 1 organization
I20051109000851 KS Practitioner - Nurse Practitioner 5193742112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Consultants PAGroup PAC ID 9931195112, 9 clinicians

Practice addresses (Care Compare)

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 276-1700

8901 W 74TH St
Suite 120
Shawnee Mission, KS 66204-2201
Phone (816) 276-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
45769KSMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nancydelacruz@mncpa.allscriptsdirect.net

Organizations & group practices 1

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1568419653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH STREET",
            "address_2": "SUITE 120",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-831-2430",
            "fax_number": "913-831-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH STREET",
            "address_2": "SUITE 120",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-831-2430",
            "fax_number": "913-831-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "NANCY",
        "middle_name": "ROSE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.