Evelyn Cruz

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11021013 Issued in FL

Practice address

2778 US Highway 27 S
Avon Park, FL 33825-9755

Phone

(863) 358-0500

NPI assigned

Aug 4, 2022

Last updated

Oct 7, 2024By the provider in NPPES

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 DE, FL2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Evelyn Cruz, LPCMH, CADC, CCDPD

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1083906226

  I20240109001416

  Same enrollment

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MP Primary Care ServicesGroup PAC ID 7618357880, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• MP Primary Care Services

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1609512656

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639
  Medicare reassignment NPD
• Depression and Mental Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Avon Park, FL
  • NPI 1356220677

  Psychiatric/Mental Health

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1891422291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 N BENNETT RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259078",
            "telephone_number": "787-529-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 US HIGHWAY 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259755",
            "telephone_number": "863-358-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Bell Shoals Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118813",
            "country_code": "US",
            "telephone_number": "863-385-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11021013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Physical Therapy Care
• Wendi Lynn Conklin, ARNP
• Javier Ernesto Corea, MD
• Carmen Corona Zavala, FNP-C
• Joy Renee Crunkelton, C.PH.T.
• Chelsie Cuervo, DDS
• William Patrick Danzey, D.C.P.A
• David a Boersma DC PA
• Day Behavioral Consulting, LLC
• Stephanie Marie De Silva

• Psychiatric/Mental Health Nurse Practitioner in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.