Individual provider Active NPI

Jacquelyn Delgado, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1952775124
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3334082 Issued in FL
Practice address
1835 Gilmore Ave
Lakeland, FL 33805-3017
Phone
(863) 519-0575
Fax
(863) 413-3083
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3334082 FL Primary

Addresses

Primary practice location

1835 Gilmore Ave
Lakeland, FL 33805-3017

Mailing address

PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575

Other identifiers 2

IdentifierTypeStateIssuer
IT191ZOtherFLMEDICARE
018591700MedicaidFL

Other names 1

  • Jacquelyn Johnson Former name

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
I20161111000628 FL Practitioner - Nurse Practitioner 8729367974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peace River Center for Personal Development IncGroup PAC ID 7719877927, 29 clinicians

Practice addresses (Care Compare)

1255 Golfview Ave
Bartow, FL 33830-6736
Phone (863) 499-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN3334082FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 19, 2025 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Sep 19, 2016 Accepting new patients
Peace River Center for Personal Development Inc PastSince Apr 17, 2022 Accepting new patients
Peace River Center for Personal Development Inc PastSince Feb 27, 2022 Accepting new patients

Locations

1255 Golfview Ave
Bartow, FL 33830
Phone 8635190575 ext. 6494

1239 E Main St
Bartow, FL 33830
Phone (863) 533-8111

751 Scenic Hwy
Haines City, FL 33844
Phone (863) 421-3369

3241 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 413-2620

1831 Gilmore Ave
Lakeland, FL 33805
Phone 8635190575 ext. 6494

715 N Lake Ave
Lakeland, FL 33801
Phone (863) 413-2566

1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

1835 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

213 E Orange St
Wauchula, FL 33873
Phone (863) 773-3228

Organizations & group practices 4

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1952775124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 GILMORE AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053017",
            "telephone_number": "863-519-0575",
            "fax_number": "863-413-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JACQUELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3334082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IT191Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018591700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "JOHNSON",
            "credential": "RN, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.