Active NPI
Elena Mihaela Kruse, CRNP
- Family Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 125979
- Practice address
- 415 Echurch St
NW Suite 4
Huntsville, AL 35801 - Phone
- (256) 489-0757
- NPI assigned
- Sep 18, 2020
- Last updated
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 125979 | AL | Primary |
Addresses
Primary practice location
415 Echurch St
NW Suite 4
Huntsville, AL 35801
Mailing address
828 Old Cove Road
Owens Cross Roads, AL 35763
Phone (903) 293-3453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | PENDING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Huntsville | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3007 Memorial Swpkwy B
Huntsville, AL 35801-5394
Phone (256) 799-2500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.42 of 100
- Quality
- 98.84
- Improvement activities
- 40
- Cost
- 82.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125979 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke Integrative Medical Center Inc | Single Specialty | Current | Accepting new patients |
| Zaheer a Khan MD PC | Single Specialty | Current | Accepting new patients |
Locations
3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500
415E Church St NW
Ste 4
Huntsville, AL 35801
Phone (256) 801-4536
929 Willowbrook Dr SE
Ste D
Huntsville, AL 35802
Phone (210) 482-9140
Interoperability endpoints
- elena.kruse@cfe.direct.medconnecthealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Elder Care
- Geriatric Medicine (Internal Medicine) Physician
- Huntsville, AL
- NPI 1346679834
Single Specialty
-
- Multi-Specialty Clinic/Center
- Huntsville, AL
- NPI 1184282840
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Huntsville, AL
- NPI 1013975309
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1003422742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 OLD COVE ROAD",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "35763",
"telephone_number": "903-293-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ECHURCH ST",
"address_2": "NW SUITE 4",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-489-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "ELENA",
"middle_name": "MIHAELA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "125979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Huntsville",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "415 ECHURCH ST",
"address_2": "NW SUITE 4",
"city": "HUNTSVILLE",
"state": "AL",
"country_code": "US",
"postal_code": "35801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntsville, AL
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Gayle Krohe, NP
- Krone Therapy LLC
- Jaime Krone, LCSW
- Rachel C Kruspe, M.D.
- KS Wellness & Behavioral Health
- Kari Marie Kubik, M.D.
- Sydnee Kucenski, MS MH CLINICAL COUNS
- Lauren Emily Kuiper, PMHNP-BC, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.