LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) – Family Nurse Practitioner, NPI 1669896080

LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) is a healthcare provider. based in Jersey city, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 680264 (NY). The NPI Number for LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) is 1669896080

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)
NPI
1669896080
Phone
(702) 275-8947
Address
821 PAVONIA AVE
Enumeration Date
5 February 2014
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028035534
Graduation Year
2021 (5 years ago)
PAC ID
0648794941
Group Practice PAC ID
4082630512
Professional Enrollment ID
I20250408002706
Address ID
NV891485615LA6070XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:12State licenses:3Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)

  • 821 PAVONIA AVE

    JERSEY CITY, NJ 073063903

    Phone: (702) 275-8947

    Type: Location

  • BOX 91 2978 JOHN F KENNEDY BLVD

    JERSEY CITY, NJ 073063820

    Phone: (702) 275-8947

    Type: Mailing

  • 6070 S FORT APACHE RD STE 100

    LAS VEGAS, NV 891485615

    Phone: (702) 810-8375

    Type: Location

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: 2025-04-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250408002706INurse PractitionerNVTBD

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 07306)

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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: 4082630512View full group profile
NameSpecialtyState
-NV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, EndocrinologyTX
Family PracticeNV
Vascular SurgeryPA
General PracticeFL
Nurse PractitionerNV
Internal Medicine, Infectious DiseaseNY
P O D I A T R YNV

Reviews

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Frequently asked questions

How do I look up LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) by NPI?
Use NPI 1669896080 when you need to reference LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) in forms, claims, or directories.
Is LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)'s NPI currently valid?
The extract we use shows LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) as active.
What kind of provider is LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)?
The page reflects Family Nurse Practitioner for LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)?
We surface Jersey City, New Jersey for LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC) based on available NPPES addresses.
How can I contact LIA DONNA VELASQUEZ DELA CRUZ (FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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