Individual provider Active NPI

Karina Cruz, ARNP

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1760150551
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1104834 Issued in FL
Practice address
3390 Tamiami TRL Ste 101
Port Charlotte, FL 33952-8161
Phone
(941) 242-1929
Fax
(941) 242-5116
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN1104834 FL Primary

Addresses

Primary practice location

3390 Tamiami TRL Ste 101
Port Charlotte, FL 33952-8161

Mailing address

3390 Tamiami Trail Suite#101
Port Charlotte, FL 33952
Phone (786) 953-2841

Other practice location 1

1014 N Mills Ave
Arcadia, FL 34266-8811
Phone (941) 242-1929

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
I20241226001589 FL Practitioner - Nurse Practitioner 8628505955 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1104834FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Gastroenterology PA Single Specialty CurrentSince Dec 17, 2024 Accepting new patients

Locations

1014 N Mills Ave
Arcadia, FL 34266
Phone (941) 242-1929

8610 State Road 70 E
Bradenton, FL 34202
Phone (941) 242-1929

3390 Tamiami Trl
Ste 101
Pt Charlotte, FL 33952
Phone (941) 242-1929

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

4240 Sun N Lake Blvd
Ste 100
Sebring, FL 33872
Phone (863) 382-2622

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1760150551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRAIL SUITE#101",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "786-953-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL STE 101",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528161",
            "telephone_number": "941-242-1929",
            "fax_number": "941-242-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668811",
            "country_code": "US",
            "telephone_number": "941-242-1929",
            "fax_number": "941-242-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KARINA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1104834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.