Gershwin Boniao Cruzabra, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1193622 Issued in TX

Practice address

164 Belterra Village Way Ste X200
Austin, TX 78737-4794

Phone

(512) 596-0595

NPI assigned

Mar 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Austin Kidney Associates PA

  • Nephrology Physician
  • Austin, TX
  • NPI 1154669331
  Medicare reassignment Care Compare group NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group
• Austin Kidney Associates, P. a.

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1801317904
  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1891516720
  NPD (past)

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1689472706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BELTERRA VILLAGE WAY STE X200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374794",
            "telephone_number": "512-596-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BELTERRA VILLAGE WAY STE X200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374794",
            "telephone_number": "512-596-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZABRA",
        "first_name": "GERSHWIN",
        "middle_name": "BONIAO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1193622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo A Cruz, DO
• Victoria Cruz, RN, AHCNS-BC
• Victoria Alexis Cruz
• Virginia Cruz, LCSW
• Wayne Cruz, ATP
• Niomi Cryer
• Valerie Cryer
• Crystalline Diagnostics LLC
• CS Surgical PLLC
• CSH Round Rock LP (Vibrant Retirment Living)

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.