Individual provider Active NPI

Annette Iskra Cruz, PA-C

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1235326976
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2614 Issued in SC
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2754PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207000355 SC Practitioner - Physician Assistant 2062596208 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
2614SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince May 28, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Oct 13, 2016 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 28, 2019 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

  • Direct secure messaging: annette.cruz@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.