Individual provider Active NPI

Kristin Perez-Cruet, FNP-BC

  • Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1649152489
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704411684 Issued in MI
Practice address
5220 Highland Rd Ste 210
Waterford, MI 48327-1973
Phone
(248) 383-1030
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 4704411684 MI Primary

Addresses

Primary practice location

5220 Highland Rd Ste 210
Waterford, MI 48327-1973

Mailing address

1070 Timberlake Dr
Bloomfield, MI 48302-2849
Phone (248) 860-7140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250915004172 MI Practitioner - Nurse Practitioner 3870097793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5220 Highland Rd
Suite 210
Waterford, MI 48327-1973
Phone (248) 383-1030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704411684MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Minimally Invasive Neurosurgical Institute PLLC CurrentSince Aug 6, 2025 Accepting new patients

Locations

5220 Highland Rd
Ste 210
Waterford, MI 48327
Phone (248) 383-1030

Organizations & group practices 1

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1649152489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 TIMBERLAKE DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483022849",
            "telephone_number": "248-860-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-383-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CRUET",
        "first_name": "KRISTIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704411684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.