Jacqueline De La Cruz, - Medicare Nurse Practitioner in Kansas City, MO

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Jacqueline De La Cruz, is a medicare enrolled "Nurse Practitioner - Family" in Kansas City, Missouri. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samuel U Rodgers Health Center Inc and her current practice location is 7900 Lees Summit Rd, Kansas City, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 404-8802.

Jacqueline De La Cruz is licensed to practice in Missouri (license number 2024034560) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902658677.

Contact Information

Jacqueline De La Cruz,
7900 Lees Summit Rd,
Kansas City, MO 64139-1236
(816) 404-8802
(816) 404-9346

Map and Direction




Provider's Profile

Full NameJacqueline De La Cruz
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location7900 Lees Summit Rd, Kansas City, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline De La Cruz graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1902658677
  • Provider Enumeration Date: 04/04/2024
  • Last Update Date: 02/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1850832023
  • Enrollment ID: I20240916003020

Medical Identifiers

Medical identifiers for Jacqueline De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902658677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2024034560 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samuel U Rodgers Health Center Inc973909282616

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. Jacqueline De La Cruz allows following entities to bill medicare on her behalf.
Entity NameSamuel U Rodgers Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578570982
PECOS PAC ID: 9739092826
Enrollment ID: O20031105000813

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. Jacqueline De La Cruz 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
Jacqueline De La Cruz,
7900 Lees Summit Rd,
Kansas City, MO 64139-1236

Ph: (816) 404-8802		Jacqueline De La Cruz,
7900 Lees Summit Rd,
Kansas City, MO 64139-1236

Ph: (816) 404-8802

Reviews and Comments


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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.