Jeanette Anuddin Cruz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42393 Issued in AZ

Practice address

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948

Phone

(623) 850-0026

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Whispering Palms Medical IncGroup PAC ID 3678607173, 3 clinicians

Regenesis Healthcare IncGroup PAC ID 1456700905, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

29.84 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

62.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanette.cruz.p1@direct.nachci.nextgenshare.com
• Direct secure messaging: jeanette.cruz.1@21116.direct.athenahealth.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.

• Regenesis Healthcare, Inc

  dba ADD Clinic of Arizona

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1275034183
  Medicare reassignment Care Compare group NPD
• Whispering Palms Medical Inc

  dba BritePath Medical

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998
  Medicare reassignment Care Compare group NPD
• Forward Medical LLC

  dba Az ADHD Center

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285467696
  Medicare reassignment NPD
• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment NPD
• Epic Primary Care II PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1235526047

  Family Medicine

  NPD
• Del Lago Medical Inc

  • In Home Supportive Care Agency
  • Phoenix, AZ
  • NPI 1568733400
  NPD (past)
• Estrella Family Medical, LLC.

  • Family Medicine Physician
  • Goodyear, AZ
  • NPI 1669593398
  NPD (past)
• Moblie Health Care Solutions, LLC

  dba Family Medical Walk In

  • Pharmacy
  • Prescott Valley, AZ
  • NPI 1396170106
  NPD (past)
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1891971628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 LARCH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141889",
            "telephone_number": "480-789-0814",
            "fax_number": "480-789-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16928 W BELL RD STE 701",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748948",
            "telephone_number": "623-850-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 W Indian School Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850133115",
            "country_code": "US",
            "telephone_number": "602-773-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8675 S Priest Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852841914",
            "country_code": "US",
            "telephone_number": "480-739-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JEANETTE",
        "middle_name": "ANUDDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "81714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301095410",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301095410",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491303",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANING PERMIT",
            "identifier": "81714",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "42393",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Renee Craig, LAC
• Danielle N. Crawford, AU.D.
• Creative Hospice & Palliative Care of Arizona, Inc (Homestead Hospice & Palliative Care of Maricopa)
• Creative Life Skills Development
• Sandra Crowe
• Crystal Rose
• Mariela Cristina Cuebas Fantauzzi, MD
• Jennifer L. Cullop, B.A.
• Haley Cummings, OTR/L
• Lisa Cummins

• Family Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.