Individual provider Active NPI

Liset Cruz, APRN

  • Nurse Practitioner
  • Westland, MI
National Provider Identifier
1124524277
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704375529 Issued in MI
Practice address
30805 Ann Arbor TRL
Westland, MI 48185-2482
Phone
(734) 338-6136
Fax
(734) 338-6195
NPI assigned
Apr 5, 2018
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04180098 FL
Nurse Practitioner 363L00000X 4704375529 MI Primary

Addresses

Primary practice location

30805 Ann Arbor TRL
Westland, MI 48185-2482

Mailing address

30805 Ann Arbor TRL
Westland, MI 48185-2482
Phone (734) 338-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220119002052 MI Practitioner - Nurse Practitioner 0648662981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Procare Partners Health PLLCGroup PAC ID 6507298841, 14 clinicians

Practice addresses (Care Compare)

3611 Carpenter St
Suite 5
Detroit, MI 48212-2784
Phone (313) 733-8286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.96 of 100Reported as group
Quality
21.71
Promoting interoperability
12
Improvement activities
40
Cost
78.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704375529MIMDNurse Practitioner
F04180098FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Care Solutions for Adults and Seniors, Inc. Family CurrentSince Sep 30, 2023 Accepting new patients
Procare Partners Health PLLC CurrentSince Jan 1, 2022 Accepting new patients
Cambridge Psychiatry & Behavioral Institute PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

3611 Carpenter St
Ste 7
Hamtramck, MI 48212
Phone (313) 349-5851

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

30805 Ann Arbor Trl
Westland, MI 48185
Phone (734) 744-7058

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1124524277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30805 ANN ARBOR TRL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852482",
            "telephone_number": "734-338-6136",
            "fax_number": "734-338-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30805 ANN ARBOR TRL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852482",
            "telephone_number": "734-338-6136",
            "fax_number": "734-338-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LISET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F04180098",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704375529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.