Individual provider Active NPI

Edgar Joel Cruz Crispin, DNP, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1497212799
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001601 Issued in FL
Practice address
17835 Murdock Cir Unit a
Port Charlotte, FL 33948-4091
Phone
(941) 340-3636
Fax
(941) 340-3637
NPI assigned
Feb 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001601 FL
Family Nurse Practitioner 363LF0000X APRN11001601 FL Primary

Addresses

Primary practice location

17835 Murdock Cir Unit a
Port Charlotte, FL 33948-4091

Mailing address

17835 Murdock Cir Unit a
Port Charlotte, FL 33948-4091
Phone (941) 340-3636

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
I20200321000003 FL Practitioner - Nurse Practitioner 9830527068 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

Orlando, FL 32804
Phone (732) 552-8922

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001601FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Nurse Practitioner CurrentSince Dec 12, 2023 Accepting new patients
Premier Inpatient Partners LLC CurrentSince Apr 1, 2020 Accepting new patients
Mana Health Partners PA CurrentSince Jul 1, 2024 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Sep 8, 2021 Accepting new patients
Straight2U Healthcare CurrentSince Dec 21, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1111 Drury Ln
Englewood, FL 34224
Phone (941) 474-9371

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

17835 Murdock Cir
Unit A
Port Charlotte, FL 33948
Phone (941) 340-3636

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

808 Colley Rd
Starke, FL 32091
Phone (904) 454-1198

1000 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 937-4203

200 Nassau St N
Venice, FL 34285
Phone (305) 397-8417

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

250 Skillman St
Ste 202
Brooklyn, NY 11205

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1497212799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 MURDOCK CIR UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484091",
            "telephone_number": "941-340-3636",
            "fax_number": "941-340-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17835 MURDOCK CIR UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484091",
            "telephone_number": "941-340-3636",
            "fax_number": "941-340-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ CRISPIN",
        "first_name": "EDGAR",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.