Active NPI
Annette Iskra Cruz, PA-C
- Medical Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2614
- Practice address
- 2085 Henry Tecklenburg Dr Ste 106
Charleston, SC 29414-7711 - Phone
- (843) 958-2550
- Fax
- (843) 958-2599
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2614 | SC | Primary |
Addresses
Primary practice location
2085 Henry Tecklenburg Dr Ste 106
Charleston, SC 29414-7711
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2754PA | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Annette.Cruz@rsfpp.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Doughty St
Suite 390
Charleston, SC 29403-5736
Phone (843) 789-1892
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
2093 Henry Tecklenburg Dr
Suite 318E
Charleston, SC 29414-5741
Phone (843) 402-1766
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426
3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2614 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Roper St. Francis Specialty Physicians | Physician Assistant | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Richard P Anderson, MD, PC | Past | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients |
Locations
2085 Henry Tecklenburg Dr
Ste 106
Charleston, SC 29414
Phone (843) 958-2440
2093 Henry Tecklenburg Dr
Ste 318E
Charleston, SC 29414
Phone (843) 720-8317
125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- annette.cruz@rsfpp.eclinicaldirectplus.com
- acruz1236191@direct.bsmhealth.org
Organizations & group practices 8
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.
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Roper St. Francis Physician Partners Bariatric Surgery
- Surgery Physician
- Ladson, SC
- NPI 1528945912
Physician Assistant
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba Roper St. Francis Physician Partners OB/GYN
- Gynecology Physician
- Mount Pleasant, SC
- NPI 1306442728
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
-
- Surgery Physician
- Springfield, MA
- NPI 1063607455
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba Roper St. Francis Home Health
- Home Health Agency
- Ladson, SC
- NPI 1619947140
-
dba Mount Pleasant Hospital
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235326976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 HENRY TECKLENBURG DR STE 106",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294147711",
"telephone_number": "843-958-2550",
"fax_number": "843-958-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ANNETTE",
"middle_name": "ISKRA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2754PA",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Annette.Cruz@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "125 Doughty St Ste 280",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "29403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.