Individual provider Active NPI

Courtney Regis Delacruz, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1588278899
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016037 Issued in FL
Practice address
3849 Oakwater Cir
Orlando, FL 32806-6264
Phone
(407) 240-1762
Fax
(407) 812-5869
NPI assigned
Sep 3, 2020
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016037 FL Primary

Addresses

Primary practice location

3849 Oakwater Cir
Orlando, FL 32806-6264

Mailing address

3849 Oakwater Cir
Orlando, FL 32806-6264
Phone (407) 240-1762

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
I20221210000064 FL Practitioner - Nurse Practitioner 7113396326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurological Services of Orlando PAGroup PAC ID 3375560667, 7 clinicians

Practice addresses (Care Compare)

3849 Oakwater Cir
Orlando, FL 32806-6264
Phone (407) 240-1762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016037FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Services of Orlando PA CurrentSince Oct 10, 2022 Accepting new patients

Locations

3849 Oakwater Cir
Orlando, FL 32806
Phone (407) 237-6336

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1588278899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-240-1762",
            "fax_number": "407-812-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-240-1762",
            "fax_number": "407-812-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "COURTNEY",
        "middle_name": "REGIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.