Active NPI
Elvis Kendrick Cruz, FNP
- Family Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11014428
- Practice address
- 3345 Burns Rd
Ste 105, 206, 306
Palm Beach Gardens, FL 33410 - Phone
- (561) 626-1881
- NPI assigned
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347609 | NY | |
| Family Nurse Practitioner | 363LF0000X | 11014428 | FL | Primary |
Addresses
Primary practice location
3345 Burns Rd
Ste 105, 206, 306
Palm Beach Gardens, FL 33410
Mailing address
3345 Burns Rd Ste 105
Palm Beach Gardens, FL 33410-4304
Phone (561) 626-1092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- City University of New York School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589
979 E 3Rd St
Chattanooga, TN 37403-2136
Phone (423) 778-2867
Hospital & facility affiliations
- Erlanger Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014428 | FL | MD | Family Nurse Practitioner |
| 347609 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erlanger Health | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| Erlanger Health | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients |
Locations
2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285
979 E 3rd St
Ste A245
Chattanooga, TN 37403
Phone (423) 778-2867
403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Interoperability endpoints
- ecruz19598@jupitermedicalcenter.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1932770104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 BURNS RD STE 105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104304",
"telephone_number": "561-626-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 BURNS RD",
"address_2": "STE 105, 206, 306",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-626-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ELVIS",
"middle_name": "KENDRICK",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-08",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347609",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11014428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.