Individual provider Active NPI

Maria J. Cruz, ARNP

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1477667616
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN1725402 Issued in FL
Practice address
1223 Gateway Dr Ste 1a
Melbourne, FL 32901-2607
Phone
(321) 434-6712
Fax
(321) 409-6812
NPI assigned
Aug 17, 2006
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN1725402 FL Primary

Addresses

Primary practice location

1223 Gateway Dr Ste 1a
Melbourne, FL 32901-2607

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-6712

Other names 1

  • Maria Joy Cruz Other name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000147 FL Practitioner - Nurse Practitioner 5092735902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1725402FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loggerhead Medical LLC CurrentSince May 26, 2004 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 15, 2013 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 15, 2013 Accepting new patients
Tampa Pain Relief Center, Inc. CurrentSince Apr 1, 2016 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1223 Gateway Dr
Ste 1A
Melbourne, FL 32901
Phone (321) 434-6712

1223 Gateway Dr
Ste 1E
Melbourne, FL 32901
Phone (321) 725-4505

307 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-8223

8075 Spyglass Hill Rd
Ste 105
Melbourne, FL 32940
Phone (321) 259-8993

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Organizations & group practices 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1477667616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 1A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-434-6712",
            "fax_number": "321-409-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARIA",
        "middle_name": "J.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN1725402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CRUZ",
            "middle_name": "JOY",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.