Active NPI
Marta E Cellez Cruz
- Primary Care Nurse Practitioner
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11009920
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11009920 | FL | MD | Primary Care Nurse Practitioner |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Healthcare LLC | Current | Accepting new patients | |
| Best Value Healthcare LLC | Past | 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.
-
- Internal Medicine Physician
- North Fort Myers, FL
- NPI 1619542446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.