Active NPI
Jessica Cruz, NP
- Family Nurse Practitioner
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 006305
- Practice address
- 61 Bellevue Ave
Bristol, CT 06010-5815 - Phone
- (860) 589-1682
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 006305 | CT | Primary |
Addresses
Primary practice location
61 Bellevue Ave
Bristol, CT 06010-5815
Mailing address
819 Worcester St
Springfield, MA 01151-1045
Phone (413) 543-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI, MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000614 | CT | Practitioner - Nurse Practitioner | 7012219942 | Reassigns benefits to 3 organizations |
| I20201014001663 | RI | Practitioner - Nurse Practitioner | 7012219942 | Reassigns benefits to 1 organization |
| I20210423000795 | MA | Practitioner - Nurse Practitioner | 7012219942 | Reassigns benefits to 1 organization |
| I20211220001500 | NY | Practitioner - Nurse Practitioner | 7012219942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006305 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Family | Current | Accepting new patients |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Hospital Medicine Associates LLC | Current | Accepting new patients | |
| Ipc Hospitalists of New England PC | Current | Accepting new patients | |
| Inhouse Care LLC | Past | Accepting new patients |
Locations
61 Bellevue Ave
Bristol, CT 06010
Phone (281) 968-8121
23 Fair St
Bristol, CT 06010
Phone (860) 347-6300
850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471
1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443
Interoperability endpoints
- jcruz20008@carelonhealth.direct-ci.com
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
CT
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Family
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
MA, RI
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- Primary Care Clinic/Center
- Wolcott, CT
- NPI 1598138943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1679946784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WORCESTER ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011511045",
"telephone_number": "413-543-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BELLEVUE AVE",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105815",
"telephone_number": "860-589-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JESSICA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "006305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.