Anna Marie R. De la Cruz, APRN
Individual provider Active NPI Family Nurse Practitioner · Orlando, FL
NPI 1962221036 · NPPES record last updated Nov 2, 2024
Key facts
- NPI
- 1962221036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11035747 (FL)
- Practice address
- 4711 Curry Ford Rd Ste B
Orlando, FL 32812-2704 - Phone
- (407) 315-2271
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System Sunbelt Inc
Practice addresses (Care Compare)
20 Alexandria Blvd
Suite 1600
Oviedo, FL 32765-5525
Phone (407) 278-4865
4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108002051 | FL | Practitioner - Nurse Practitioner | 4981180098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11035747 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/Sunbelt, Inc | Family | Current |
Accepting new patients |
| Dover Shores Family Practice | Current |
Accepting new patients | |
| Adventist Health System Sunbelt, Inc | Family | Current |
Accepting new patients |
Locations
4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810
4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650
Interoperability endpoints
- anna.marie.de.la.cruz.1@31553.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11035747 | FL | Yes |
Addresses
Primary practice location
4711 Curry Ford Rd Ste B
Orlando, FL 32812-2704
Mailing address
4711 Curry Ford Rd Ste B
Orlando, FL 32812-2704
Phone (407) 315-2271
NPI Registry JSON
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730505600000",
"number": "1962221036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 CURRY FORD RD STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328122704",
"telephone_number": "407-315-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 CURRY FORD RD STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328122704",
"telephone_number": "407-315-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "ANNA MARIE",
"middle_name": "R.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11035747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Silvia Maria De la Cerda
- Julia Dennis De la Cruz Pena
- Ed L De la Cruz Rodriguez
- Genaro Antonio De la Cruz Soto
- Jackeline De la Cruz Soto
- Elly De la Cruz
- Jose Miguel De la Cruz
- Katherine De la Cruz
- Maria De la Cruz
- Mavel De la Cruz
All providers in Orlando, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.