Individual provider Active NPI

Johnny Joe Cruz Jr., MSN, FNP-C

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1710865654
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1208277 Issued in TX
Practice address
506 Graham Dr Ste 150
Tomball, TX 77375-3467
Phone
(281) 351-5174
NPI assigned
Aug 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 1208277 TX Primary

Addresses

Primary practice location

506 Graham Dr Ste 150
Tomball, TX 77375-3467

Mailing address

506 Graham Dr Ste 150
Tomball, TX 77375-3467
Phone (281) 351-5174

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250925005024 TX Practitioner - Nurse Practitioner 3375048788 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
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

17189 I 45
Suite 305
Shenandoah, TX 77385-3320
Phone (281) 351-5174

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1208277TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Aug 25, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Aug 25, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

17189 Interstate 45 S
Ste 305
Shenandoah, TX 77385
Phone (281) 351-5174

506 Graham Dr
Ste 150
Tomball, TX 77375
Phone (281) 351-5174

Interoperability endpoints

  • Direct secure messaging: johnnycruz@tusdfw.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1710865654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 150",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753467",
            "telephone_number": "281-351-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 150",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753467",
            "telephone_number": "281-351-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOHNNY",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1208277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.