Individual provider Active NPI

Lacey B Santa Cruz, CRNP

  • Family Nurse Practitioner
  • Elberta, AL
National Provider Identifier
1225928393
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182581 Issued in AL
Practice address
24980 State St
Elberta, AL 36530-2573
Phone
(251) 986-7301
Fax
(251) 986-5927
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 1-182581 AL Primary

Addresses

Primary practice location

24980 State St
Elberta, AL 36530-2573

Mailing address

PO Box 519
Elberta, AL 36530-0519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250811003601 AL Practitioner - Nurse Practitioner 1355849159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elberta Clinic, PCGroup PAC ID 6901874403, 8 clinicians

Practice addresses (Care Compare)

24980 State St
Elberta, AL 36530-2573
Phone (251) 986-7301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-182581ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elberta Clinic, PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

24980 State St
Elberta, AL 36530
Phone (251) 201-7667

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, 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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1225928393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365300519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CRUZ",
        "first_name": "LACEY",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberta, AL

Sources for this page

Verify at the official NPI Registry.