JEAN RAYNALD DELICE – Psychiatric/Mental Health Nurse Practitioner, NPI 1801555248

JEAN RAYNALD DELICE is a healthcare provider. based in Miami gardens, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11012079 (FL). The NPI Number for JEAN RAYNALD DELICE is 1801555248

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JEAN RAYNALD DELICE
NPI
1801555248
Phone
(305) 878-9718
Address
111 NW 183RD ST STE 203
Enumeration Date
13 December 2021
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4146674800
Graduation Year
2020 (6 years ago)
PAC ID
2264826866
Group Practice PAC ID
4789089954
Professional Enrollment ID
I20251118002991
Address ID
WI532144949MI1706XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JEAN RAYNALD DELICE

  • 111 NW 183RD ST STE 203

    MIAMI GARDENS, FL 331694578

    Phone: (305) 878-9718

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Tempus AI, Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Tempus AI, Inc$18
View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250815000199INurse PractitionerMATBD
I20251118002991INurse PractitionerWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33169)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789089954View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
P S Y C H I A T R YMD
P S Y C H I A T R YNY
P S Y C H I A T R YNC
Nurse PractitionerWI
Nurse PractitionerRI
Nurse PractitionerWI
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

What is the registry number for JEAN RAYNALD DELICE?
The registry entry for JEAN RAYNALD DELICE shows NPI 1801555248.
Is JEAN RAYNALD DELICE's NPI status active today?
Active status means JEAN RAYNALD DELICE's NPI record is not deactivated in the public file.
What services align with JEAN RAYNALD DELICE's listing?
JEAN RAYNALD DELICE's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JEAN RAYNALD DELICE in Miami Gardens, Florida?
For routing, start with Miami Gardens, Florida for JEAN RAYNALD DELICE, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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