Active NPI
Jersain Alberto Cruz, ARNP
- Family Nurse Practitioner
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9229979
- Practice address
- 1400 27TH St
Vero Beach, FL 32960-0303 - Phone
- (772) 257-8224
- Fax
- (772) 213-3157
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | APRN9229979 | FL | Primary |
Addresses
Primary practice location
1400 27TH St
Vero Beach, FL 32960-0303
Mailing address
1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN9229979 | Other | FL | MEDICAL LICENSE |
| 120359000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Forest Hill Medical Group LLC | Current | Accepting new patients | |
| Post Acute Care Leaders-Florida LLC | Current | Accepting new patients | |
| Forest Hill Physician Group, Inc. | Past | Accepting new patients | |
| Osler Medical Inc | Past | Accepting new patients | |
| Osler Hma Medical Group LLC | Past | Accepting new patients |
Locations
2240 W Woolbright Rd
Ste 317
Boynton Beach, FL 33426
Phone (561) 200-0047
12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828
220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427
3098 Forest Hill Blvd
Unit 1
Palm Springs, FL 33406
Phone (561) 968-7600
3098 Forest Hill Blvd
Palm Springs, FL 33406
Phone (561) 968-7600
787 37th St
Ste E200
Vero Beach, FL 32960
Phone (772) 567-3003
1400 27th St
Vero Beach, FL 32960
1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908
925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDCBCD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1205401429
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1891740916
-
- Nurse Practitioner
- Vero Beach, FL
- NPI 1578119194
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1609686542
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1114948049
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1518259050
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1356308670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1043412059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 27TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329600303",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JERSAIN",
"middle_name": "ALBERTO",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9229979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "APRN9229979",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120359000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.