ERIC JACOB HENDRIK VAN DER LELIJ – Family Nurse Practitioner, NPI 1265972715
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for ERIC JACOB HENDRIK VAN DER LELIJ
1669 W INA RD STE 101
TUCSON, AZ 857041976
Phone: (520) 795-6183
Type: Location
3945 E Paradise Falls Dr
#201
Tucson, AZ 857126683
Phone: (520) 290-5888
Type: Location
1669 W INA RD STE 141
TUCSON, AZ 857041981
Phone: (520) 795-6183
Type: Location
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
LAS VEGAS, NV 891335380
Phone: (520) 795-6183
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170724000676 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 693 | 134 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 285 | 143 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 141 | 31 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 90 | 80 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 17 | $0 |
Insurance plans in this area (ZIP 85704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | AZ | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | NV | |
| Nurse Practitioner | AZ | |
| N E U R O L O G Y | AZ | |
| Nurse Practitioner | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | PA | |
| Nurse Practitioner | IL | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ |
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