Jimmy Cruza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hawthorne, Nevada. His current practice location is
2 S Maine Ave Bldg 102-54, Hawthorne, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 981-2919.
Jimmy Cruza is licensed to practice in Nevada (license number 821250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063079234.
Provider's Profile
Full Name | Jimmy Cruza |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 2 S Maine Ave Bldg 102-54, Hawthorne, Nevada |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063079234
- Provider Enumeration Date: 05/23/2019
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830527019
- Enrollment ID: I20200323000562
Medical Identifiers
Medical identifiers for Jimmy Cruza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063079234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 821250 (Nevada) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jimmy Cruza allows following entities to bill medicare on his behalf.
Entity Name | Minghsun Liu Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982002283 PECOS PAC ID: 8820315047 Enrollment ID: O20150327002039 |
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Entity Name | Homer C Tuazon Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851766117 PECOS PAC ID: 2365745163 Enrollment ID: O20160128002274 |
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Entity Name | Spencer J Hardenbrook Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20201231000426 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jimmy Cruza is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jimmy Cruza, FNP-C 7113 Bluebird Wing St, North Las Vegas, NV 89084-4802 Ph: (702) 981-2919 | Jimmy Cruza, FNP-C 2 S Maine Ave Bldg 102-54, Hawthorne, NV 89415-9404 Ph: (702) 981-2919 |
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