Individual provider Active NPI

Kristina Cruz, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1144965575
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019471 Issued in FL
Practice address
2880 NE 43Rd Rd
Ocala, FL 34470-3331
Phone
(352) 817-7829
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 11019471 FL Primary

Addresses

Primary practice location

2880 NE 43Rd Rd
Ocala, FL 34470-3331

Mailing address

2880 NE 43Rd Rd
Ocala, FL 34470-3331
Phone (352) 817-7829

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518003127 FL Practitioner - Nurse Practitioner 9335526045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

950 S Dillard St
Suite a
Winter Garden, FL 34787-3912
Phone (407) 794-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019471FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Oct 19, 2022 Accepting new patients
Mid-South Home Care Services, LLC Current Accepting new patients
Lifeforce Healthcare LLC Family CurrentSince Apr 4, 2022 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 19, 2022 Accepting new patients
Florida Health Care LLC Past Accepting new patients

Locations

4776 New Broad St
Ste 150
Orlando, FL 32814
Phone (407) 794-8382

5111 N 12th Ave
Ste B
Pensacola, FL 32504
Phone (850) 316-4882

950 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (352) 816-2600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1144965575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 NE 43RD RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703331",
            "telephone_number": "352-817-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NE 43RD RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703331",
            "telephone_number": "352-817-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KRISTINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.