Individual provider Active NPI

Elena Cruz-Hunter, CNM

  • Advanced Practice Midwife
  • Melbourne, FL
National Provider Identifier
1366536518
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP2170132 Issued in FL
Practice address
2275 S Babcock Street
Melbourne, FL 32901
Phone
(321) 726-2920
Fax
(321) 726-2916
NPI assigned
Oct 3, 2006
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP2170132 FL Primary

Addresses

Primary practice location

2275 S Babcock Street
Melbourne, FL 32901

Mailing address

2575 North Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 639-5787

Other identifiers 1

IdentifierTypeStateIssuer
305756900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000197 FL Practitioner - Certified Nurse Midwife (CNM) 0648284547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 8, 2015 Accepting new patients
Florida Department of Health CurrentSince Feb 8, 2015 Accepting new patients

Locations

2275 S Babcock St
Melbourne, FL 32901
Phone (321) 454-7148

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1366536518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 NORTH COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32953",
            "telephone_number": "321-639-5787",
            "fax_number": "321-639-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S BABCOCK STREET",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-726-2920",
            "fax_number": "321-726-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-HUNTER",
        "first_name": "ELENA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP2170132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305756900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.