Karoljohn Simpauco Delara, NURSE PRACTITIONER - Medicare Nurse Practitioner in Chula Vista, CA

Karoljohn Simpauco Delara, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Chula Vista, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Brenton D. Wynn, Md Inc and his current practice location is 1692 Fleishbein St, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (850) 776-7683.

Karoljohn Simpauco Delara is licensed to practice in California (license number 95013929) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306478896.

Contact Information

Karoljohn Simpauco Delara, NURSE PRACTITIONER
1692 Fleishbein St,
Chula Vista, CA 91913-4332
(850) 776-7683
Not Available

Map and Direction




Provider's Profile

Full NameKaroljohn Simpauco Delara
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location1692 Fleishbein St, Chula Vista, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karoljohn Simpauco Delara graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1306478896
  • Provider Enumeration Date: 02/12/2020
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890114789
  • Enrollment ID: I20200925001444

Medical Identifiers

Medical identifiers for Karoljohn Simpauco Delara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306478896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95013929 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brenton D. Wynn, Md Inc17593210866

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karoljohn Simpauco Delara allows following entities to bill medicare on his behalf.
Entity NameBrenton D. Wynn, Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598953960
PECOS PAC ID: 1759321086
Enrollment ID: O20050505001146
Entity NameMinuteclinic Diagnostic Medical Group Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249
Entity NameReliable Care Medical Group Amc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538710033
PECOS PAC ID: 8022340785
Enrollment ID: O20191029003379

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karoljohn Simpauco Delara is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karoljohn Simpauco Delara, NURSE PRACTITIONER
1692 Fleishbein Street,
Chula Vista, CA 91913-2931

Ph: (850) 776-7683
Karoljohn Simpauco Delara, NURSE PRACTITIONER
1692 Fleishbein St,
Chula Vista, CA 91913-4332

Ph: (850) 776-7683

Reviews and Comments


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Phone: 619-585-3000    Fax: 619-585-3002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.