Individual provider Active NPI

Stacy Paula Cruz, FNP-C

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1053886887
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8702-33 Issued in WI
Practice address
949 N 9TH St
Milwaukee, WI 53233-1422
Phone
(414) 226-7070
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8702-33 WI Primary

Addresses

Primary practice location

949 N 9TH St
Milwaukee, WI 53233-1422

Mailing address

5207 S Lake Dr
Cudahy, WI 53110-2013
Phone (414) 469-2559

Other practice location 1

5207 S Lake Dr
Cudahy, WI 53110-2013
Phone (414) 469-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211000495 WI Practitioner - Nurse Practitioner 3870926546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
8702-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Milwaukee Family CurrentSince Sep 30, 2025 Accepting new patients

Locations

1919 W North Ave
Ste 200
Milwaukee, WI 53205
Phone (414) 257-7610

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1053886887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 S LAKE DR",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102013",
            "telephone_number": "414-469-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331422",
            "telephone_number": "414-226-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5207 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "WI",
            "postal_code": "531102013",
            "country_code": "US",
            "telephone_number": "414-469-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "STACY",
        "middle_name": "PAULA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8702-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.