Matilde Vinoya Dela Cruz – Family Nurse Practitioner

Key facts

NPI: 1699387191
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 1-106864 (AL)
Practice address: 2692 US Highway 431
Boaz, AL 35957-5845
Phone: (256) 558-6000
NPI assigned: Aug 18, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Go Medical Corporation PC Internal Medicine Physician · Boaz, AL · NPI 1073027876

Medicare reassignment Care Compare group NPD AL
Go Medical Corporation PC Family Medicine Physician · Boaz, AL · NPI 1861224123

NPD (past)

Hospital & facility affiliations 1

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

HH Health System - Marshall LLC General Acute Care Hospital · Boaz, AL · NPI 1407313760

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Go Medical Corporation, PC (7 clinicians)

Practice addresses (Care Compare)

2692 US Hwy 431
Boaz, AL 35957-5845
Phone (256) 558-6000

Hospital & facility affiliations

Marshall Medical Centers Hospital · Boaz, AL · CCN 010005

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201106000322	AL	Practitioner - Nurse Practitioner	6901216704	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Go Medical Corporation PC		Current since Oct 1, 2020	Accepting new patients
Go Medical Corporation PC		Past since Aug 18, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	1-106864	AL	Yes

Addresses

Primary practice location

2692 US Highway 431
Boaz, AL 35957-5845

Mailing address

204 Cambridge LN
Rainbow City, AL 35906-6604
Phone (256) 393-8158

Other names

Matilde Dela Cruz Somosot Former name

Other providers in Boaz, AL

All providers in Boaz, AL · Family Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.