Individual provider Active NPI

Marta E Cellez Cruz

  • Primary Care Nurse Practitioner
  • Largo, FL
National Provider Identifier
1912503129
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11009920 Issued in FL
Practice address
1157 Missouri Ave
Largo, FL 33770-1815
Phone
(855) 226-6633
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11009920 FL Primary

Addresses

Primary practice location

1157 Missouri Ave
Largo, FL 33770-1815

Mailing address

1157 Missouri Ave
Largo, FL 33770-1815
Phone (855) 226-6633

Other practice location 1

1456 Ridgelane Rd
Clearwater, FL 33755-1261
Phone (727) 776-1698

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
I20210329000516 FL Practitioner - Nurse Practitioner 3173930708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLC 56 clinicians

Practice addresses (Care Compare)

3800 E Bay Dr
Largo, FL 33771-1937
Phone (727) 539-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009920FLMDPrimary Care Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Apr 14, 2025 Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

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

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

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 2

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1912503129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MISSOURI AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701815",
            "telephone_number": "855-226-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 MISSOURI AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701815",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1456 Ridgelane Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337551261",
            "country_code": "US",
            "telephone_number": "727-776-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARTA E",
        "middle_name": "CELLEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11009920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.