Individual provider Active NPI

Valentina Ignacio Cruz, P.A..

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1629014709
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02038 Issued in TX
Practice address
9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211
Phone
(972) 377-1490
Fax
(972) 377-1499
NPI assigned
Jun 20, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02038 TX Primary

Addresses

Primary practice location

9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211

Mailing address

9255 Dallas Pkwy Ste 110
Frisco, TX 75033-4211
Phone (972) 377-1490

Other identifiers 1

IdentifierTypeStateIssuer
375882301MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080825000503 TX Practitioner - Physician Assistant 2264507342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

9255 Dallas Pkwy
Suite 110
Frisco, TX 75033-4211
Phone (972) 377-1490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Aug 1, 1999 Accepting new patients
Medical Clinic of North Texas, PLLC Physician Assistant CurrentSince Aug 1, 1999 Accepting new patients

Locations

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

2595 Dallas Pkwy
Ste 405
Frisco, TX 75034
Phone (972) 377-1490

9255 Dallas Pkwy
Ste 110
Frisco, TX 75033
Phone (972) 377-1490

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: valentina.cruz@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1629014709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "972-377-1490",
            "fax_number": "972-377-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "972-377-1490",
            "fax_number": "972-377-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "VALENTINA",
        "middle_name": "IGNACIO",
        "credential": "P.A..",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375882301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.