Individual provider Active NPI

Elvis Kendrick Cruz, FNP

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1932770104
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014428 Issued in FL
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

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002761 TN Practitioner - Nurse Practitioner 7315320827 Reassigns benefits to 2 organizations

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
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

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 Hospital, Chattanooga, TN, CCN 440104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014428FLMDFamily Nurse Practitioner
347609NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Feb 16, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 14, 2023 Accepting new patients
Erlanger Health CurrentSince Feb 16, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 14, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.