Angelique J. Cross, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001727 Issued in NV

Practice address

999 Adams Blvd Ste 104-105
Boulder City, NV 89005-2244

Phone

(702) 698-8342

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder City Hospital IncGroup PAC ID 7618953795, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIFIBD/Endpoint/GIFIBD
• Direct secure messaging: angelique.cross@bcp1.eclinicaldirectplus.com

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.

• Boulder City Hospital Inc.

  dba Boulder City Surgical Group

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1619739117
  Medicare reassignment Care Compare group NPD
• Boulder City Hospital Inc

  dba Boulder City Primary Care

  • Rural Health Clinic/Center
  • Boulder City, NV
  • NPI 1811412497
  NPD
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Intermountain Medical Holdings Nevada Inc

  dba Intermountain Health

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boulder City Hospital Inc

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1881739613
  Care Compare affiliation

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1073714705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-698-8342",
            "fax_number": "702-293-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ADAMS BLVD STE 104-105",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052244",
            "telephone_number": "702-698-8342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4275 Burnham Ave",
            "address_2": "SUITE 255",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195488",
            "country_code": "US",
            "telephone_number": "702-369-0088",
            "fax_number": "702-893-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ANGELIQUE",
        "middle_name": "J.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006597",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073714705",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Cockrell
• Felisha Conner
• Scot Anthony Conner
• Audrey Jeanne Conway
• Candis Cope
• Michele Lynn Dagenais
• Sean Dame
• Brittney D Davis
• Little Owl Davis
• Patrick W Davis, P.A.C.

• Family Nurse Practitioner in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.