Kaelin Vince Cruz, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61085950 Issued in WA

Practice address

118 7TH Ave SW
Puyallup, WA 98371-6803

Phone

(253) 250-3888

NPI assigned

Dec 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mso Washington IncGroup PAC ID 1850292681, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaelin.vincecruz@589522414665732.direct.elationemr.com

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.

• Mso Washington, Inc.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1891116109
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1801368139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34701 6TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238447",
            "telephone_number": "253-880-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 7TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716803",
            "telephone_number": "253-250-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCE CRUZ",
        "first_name": "KAELIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61085950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G Victor, D.C.
• Siara Victorian, LMFTA
• Stacia Ann Vierra, LICSW
• Viewpoint Endocrinology PLLC
• Jacquelyn Villasenor
• Robert Laurence Vincent, M.A., LMFT
• Angela A Viniarski, M.D.
• Joyce A Vipond, O.T.
• Mimi Lasamy Virachi
• Mahadeep Singh Virk, DMD

• Family Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.