Individual provider Active NPI

Angela M Santa Cruz, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1083259170
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019043857 Issued in AZ
Practice address
5150 E. Glenn St.
Tucson, AZ 85712-1337
Phone
(520) 795-7729
Fax
(520) 795-4177
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 2019043857 AZ Primary

Addresses

Primary practice location

5150 E. Glenn St.
Tucson, AZ 85712-1337

Mailing address

5150 E. Glenn St.
Tucson, AZ 85712-1337
Phone (520) 795-7729

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Banner Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260309000456 TX Practitioner - Nurse Practitioner 9032539416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine - Phoenix, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 Stockton Dr
Southlake, TX 76092-2228

516 E Byron Nelson Blvd
Unit 1638
Roanoke, TX 76262-6269

Merit-based Incentive Payment System (MIPS)

Final score
75.53 of 100Reported as group
Quality
88.48
Promoting interoperability
100
Improvement activities
40
Cost
29.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2019043857AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Solutions PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

7226 Crawford Rd
Ste 100
Argyle, TX 76226
Phone (214) 337-6362

1600 W College St
Ste LL40
Grapevine, TX 76051
Phone (214) 337-6362

Interoperability endpoints

  • Direct secure messaging: asantacruz@pimaderm.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00090

Organizations & group practices 1

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1083259170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E. GLENN ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-7729",
            "fax_number": "520-795-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E. GLENN ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-7729",
            "fax_number": "520-795-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CRUZ",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "2019043857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Banner",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3838 N Campbell Ave",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857191454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.