Individual provider Active NPI

Charmaine C Cruet, APN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1275544959
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000761 Issued in NV
Practice address
6770 S. McCarran
#201
Reno, NV 89509-8194
Phone
(775) 851-1259
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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 APN000761 NV Primary

Addresses

Primary practice location

6770 S. McCarran
#201
Reno, NV 89509-8194

Mailing address

6770 S McCarran Blvd Ste 201
Reno, NV 89509-6131
Phone (775) 851-1259

Other names 1

  • Mrs. Charmaine C Cruet Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040420001668 NV Practitioner - Nurse Practitioner 2860488509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11967CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Perez, MD LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charmaine.cruet.p1@direct.smmg.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1275544959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 S MCCARRAN BLVD STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096131",
            "telephone_number": "775-851-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S. MCCARRAN",
            "address_2": "#201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895098194",
            "telephone_number": "775-851-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUET",
        "first_name": "CHARMAINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "CRUET",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "MSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.