JOHANNA DELACROIX (MD) – Pediatrics Physician, NPI 1689807315
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
119 PEDIATRIC MEDICINE in NE
Provider Addresses for JOHANNA DELACROIX (MD)
3950 OLD SANTA FE TRL
SANTA FE, NM 875054538
Phone:
Type: Mailing
2700 W NORFOLK AVE
NORFOLK, NE 687014438
Phone: (402) 371-4880
Type: Location
801 W Maple St
Farmington, NM 874015630
Phone: (505) 609-6200
Type: Location
1180 College Dr
Rock Springs, WY 829015863
Phone: (307) 352-8125
Fax: (307) 352-8126
Type: Location
920 N Barton St
Arlington, VA 222011910
Phone: (347) 306-8491
Type: Location
1600 Rockland Rd
Wilmington, DE 198033607
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Location
PO BOX 191
ROCKLAND, DE 197320191
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Mailing
1600 ROCKLAND RD
WILMINGTON, DE 198033607
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Location
920, North Barton Street, Lyon Park, Courthouse, Arlington, Arlington County, Virginia, 22201, United States
ARLINGTON, VA 222011910
Phone: (347) 306-8491
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: 2025-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20151223001734 | I | Pediatric Medicine | IA | TBD |
| I20190808003573 | I | Pediatric Medicine | WY | TBD |
| I20200324003853 | I | Pediatric Medicine | SC | TBD |
| I20201021000125 | I | Hospitalist | DE | TBD |
| I20230525000173 | I | Pediatric Medicine | NE | TBD |
| I20250818002436 | I | Pediatric Medicine | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 87505)
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