Individual provider Active NPI

Ria Anne Vierneza Cruz, FNP-BC

  • Wound Care Registered Nurse
  • New Lenox, IL
National Provider Identifier
1447071550
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
041.392552 Issued in IL
Practice address
2772 Northern Lights Way
New Lenox, IL 60451-7503
Phone
(708) 400-8063
Fax
(708) 400-8706
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 041.392552 IL Primary

Addresses

Primary practice location

2772 Northern Lights Way
New Lenox, IL 60451-7503

Mailing address

34193 N Goldenrod Rd
Round Lake, IL 60073-5201
Phone (847) 624-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250219002099 IL Practitioner - Nurse Practitioner 9234659319 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Wound Care IncGroup PAC ID 2365970092, 10 clinicians

Practice addresses (Care Compare)

1340 Remington Rd
Suite P
Schaumburg, IL 60173-4821
Phone (847) 873-8693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.392552ILMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Home Therapy, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Advanced Physicians, S.C. Wound Care CurrentSince Feb 17, 2025 Accepting new patients
Beyond Wound Care Inc CurrentSince Feb 1, 2025 Accepting new patients
Livestrong Therapy LLC CurrentSince Oct 27, 2024 Accepting new patients
Visiting Medical Physicians Inc CurrentSince Feb 1, 2025 Accepting new patients
Revive Wound Care LLC CurrentSince Dec 12, 2024 Accepting new patients
Sun River Health Inc. Past Accepting new patients

Locations

16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

2210 Midwest Rd
Ste 102
Oak Brook, IL 60523
Phone (630) 235-6868

1320 Tower Rd
Ste 138
Schaumburg, IL 60173
Phone (847) 252-1858

1340 Remington Rd
Ste M
Schaumburg, IL 60173
Phone (847) 252-1858

1340 Remington Rd
Ste P
Schaumburg, IL 60173
Phone (847) 873-8693

Organizations & group practices 7

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1447071550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34193 N GOLDENROD RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735201",
            "telephone_number": "847-624-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 NORTHERN LIGHTS WAY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604517503",
            "telephone_number": "708-400-8063",
            "fax_number": "708-400-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RIA ANNE",
        "middle_name": "VIERNEZA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": "041.392552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.