Susan Cruz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133522 Issued in TX

Practice address

540 W 15TH St
Hereford, TX 79045-2820

Phone

(806) 364-7512

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hereford Regional Medical Center Hospital, Hereford, TX, CCN 450155
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403

  TX

  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1811987027
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984

  Hospital

  Care Compare affiliation
• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1477094209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WINDSOR ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790454634",
            "telephone_number": "806-346-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 15TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790452820",
            "telephone_number": "806-364-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Angela Camargo
• Misty Dawn Campbell, PHARMD
• Earl Robert Chase, D.O.
• Kaylee Irene Chavarria
• Jo-Ann V Collantes, DDS
• Kylie Joan Culp, FNP-C
• CVS Pharmacy Inc
• Brent Lane Dance, PHARM.D.
• David J Purdy DDS, PC
• Deaf Smith County Hospital District

• All providers in Hereford, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.