Individual provider Active NPI

Sheryl Lynn Cruger, FNP

  • Family Nurse Practitioner
  • Potsdam, NY
National Provider Identifier
1699985952
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333863 Issued in NY
Practice address
37 Pierrepont Ave
Potsdam, NY 13676-2107
Phone
(315) 265-6800
NPI assigned
May 23, 2007
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333863 NY Primary

Addresses

Primary practice location

37 Pierrepont Ave
Potsdam, NY 13676-2107

Mailing address

2 Grant St
Potsdam, NY 13676-2310
Phone (315) 261-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100211000010 NY Practitioner - Nurse Practitioner 9739222936 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333863NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healey Medical Practice, PLLC CurrentSince Jul 19, 2021 Accepting new patients
Eye Care for the Adirondacks Associates in Ophthalmology, PC Past Accepting new patients
Canton-Potsdam Medical Practice PLLC Past Accepting new patients
Mountain Medical Services PastSince Jan 1, 2015 Accepting new patients

Locations

25 Park St
Canton, NY 13617
Phone (315) 379-9158

Organizations & group practices 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1699985952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRANT ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136762310",
            "telephone_number": "315-261-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PIERREPONT AVE",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136762107",
            "telephone_number": "315-265-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUGER",
        "first_name": "SHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.