Individual provider Active NPI

Yvette N Cruz, NP-C

  • Adult Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1992056436
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN169066 Issued in GA
Practice address
4750 Waters Ave Ste 500
Savannah, GA 31404-6261
Phone
(912) 443-9409
Fax
(912) 443-9410
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN169066 GA Primary

Addresses

Primary practice location

4750 Waters Ave Ste 500
Savannah, GA 31404-6261

Mailing address

4750 Waters Ave Ste 500
Savannah, GA 31404-6261
Phone (912) 352-8346

Other practice location 1

613 Towne Park Dr W Ste 204
Rincon, GA 31326-5183
Phone (912) 826-6771

Other practice location 2

1088 Bermuda Run Ste B
Statesboro, GA 30458-0858
Phone (912) 352-8346

Other identifiers 2

IdentifierTypeStateIssuer
003153677BMedicaidGA
003153677FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190730003843 GA Practitioner - Nurse Practitioner 7113253097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Vascular Institute, LLCGroup PAC ID 2769542075, 20 clinicians

Practice addresses (Care Compare)

1088 Bermuda Run
Suite B
Statesboro, GA 30458-0858
Phone (912) 629-7800

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as group
Quality
51.32
Promoting interoperability
98
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN169066GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Vascular Institute, LLC CurrentSince May 25, 2019 Accepting new patients

Locations

613 Towne Park Dr W
Ste 204
Rincon, GA 31326
Phone (912) 785-2100

4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961

7208 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 351-5050

1088 Bermuda Run
#B
Statesboro, GA 30458
Phone (912) 681-1441

Interoperability endpoints

  • Direct secure messaging: yvette.cruz.p2@direct.savannahvascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yvette.cruz.p1@direct.savannahvascular.nextgenshare.com

Organizations & group practices 1

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 2

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1992056436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046261",
            "telephone_number": "912-352-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046261",
            "telephone_number": "912-443-9409",
            "fax_number": "912-443-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Towne Park Dr W Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265183",
            "country_code": "US",
            "telephone_number": "912-826-6771",
            "fax_number": "912-295-5605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1088 Bermuda Run Ste B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580858",
            "country_code": "US",
            "telephone_number": "912-352-8346",
            "fax_number": "912-355-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "YVETTE",
        "middle_name": "N",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN169066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153677B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153677F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.