Individual provider Active NPI

Monica Thiany Cruz, APRN

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1760018048
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11006647 Issued in FL
Practice address
822 62ND Street Cir E Ste 102
Bradenton, FL 34208-6208
Phone
(941) 243-3983
Fax
(941) 896-3795
NPI assigned
Mar 18, 2020
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11006647 FL Primary

Addresses

Primary practice location

822 62ND Street Cir E Ste 102
Bradenton, FL 34208-6208

Mailing address

822 62ND Street Cir E Ste 102
Bradenton, FL 34208-6208
Phone (941) 243-3983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210326000861 FL Practitioner - Nurse Practitioner 8022425602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

1435 S Osprey Ave
Suite 101
Sarasota, FL 34239-2905
Phone (941) 316-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006647FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare CurrentSince May 29, 2022 Accepting new patients
Best Value Healthcare LLC CurrentSince Nov 25, 2022 Accepting new patients
Lakewood Ranch Primary Care Associates PastSince May 29, 2022 Accepting new patients

Locations

822 62nd Street Cir E
Ste 102
Bradenton, FL 34208
Phone (941) 243-3983

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

1435 S Osprey Ave
Ste 101
Sarasota, FL 34239

6101 Webb Rd
Ste 203
Tampa, FL 33615
Phone (813) 884-4794

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1760018048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 62ND STREET CIR E STE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086208",
            "telephone_number": "941-243-3983",
            "fax_number": "941-896-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 62ND STREET CIR E STE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086208",
            "telephone_number": "941-243-3983",
            "fax_number": "941-896-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MONICA",
        "middle_name": "THIANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.