NPIMap

Individual provider Active NPI

Elizabeth N Cruz, FNP

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1194329573
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0994939 Issued in CO
Practice address
2875 International Cir
Colorado Springs, CO 80910-3144
Phone
(719) 389-0070
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0994939 CO Primary

Addresses

Primary practice location

2875 International Cir
Colorado Springs, CO 80910-3144

Mailing address

PO Box 34
Ramah, CO 80832-0034
Phone (228) 313-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621002347 CO Practitioner - Nurse Practitioner 7517351588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Plains Medical Clinic of CalhanGroup PAC ID 8729992516, 5 clinicians

Practice addresses (Care Compare)

560 Crystola St
Calhan, CO 80808-8742
Phone (719) 347-0100

PO Box
Suite 275
Calhan, CO 80808

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0994939COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plains Medical Clinic of Calhan Multi-Specialty CurrentSince May 9, 2023 Accepting new patients
Munni Selagamsetty,MD,PC Multi-Specialty CurrentSince Nov 29, 2020 Accepting new patients
Eastern Plains Medical Clinic of Calhan CurrentSince May 9, 2023 Accepting new patients
Internal Medicine of the Rockies PastSince Nov 29, 2020 Accepting new patients

Locations

560 Crystola St
Calhan, CO 80808
Phone (719) 282-1211

2875 International Cir
Colorado Springs, CO 80910
Phone (719) 389-0070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAGBA

Organizations & group practices 4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1194329573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "RAMAH",
            "state": "CO",
            "postal_code": "808320034",
            "telephone_number": "228-313-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103144",
            "telephone_number": "719-389-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ELIZABETH",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0994939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.