Karen Ashley Cruz, - Medicare Nurse Practitioner in Seaside, CA

Karen Ashley Cruz, is a medicare enrolled "Nurse Practitioner - Women's Health" in Seaside, California. Her current practice location is 625 Hilby Ave, Seaside, California. You can reach out to her office (for appointments etc.) via phone at (831) 394-1691.

Karen Ashley Cruz is licensed to practice in California (license number 95016160) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033792353.

Contact Information

Karen Ashley Cruz,
625 Hilby Ave,
Seaside, CA 93955-5720
(831) 394-1691
Not Available

Map and Direction




Provider's Profile

Full NameKaren Ashley Cruz
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location625 Hilby Ave, Seaside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033792353
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597165407
  • Enrollment ID: I20210615001575

Medical Identifiers

Medical identifiers for Karen Ashley Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033792353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 95016160 (California)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. Karen Ashley Cruz allows following entities to bill medicare on her behalf.
Entity NamePlanned Parenthood Mar Monte Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174579957
PECOS PAC ID: 1456248954
Enrollment ID: O20040301000438
Entity NamePlanned Parenthood Mar Monte Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184677163
PECOS PAC ID: 1456248954
Enrollment ID: O20040913000563

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. Karen Ashley Cruz 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 AddressPractice Location Address
Karen Ashley Cruz,
444 W Windsor Rd Apt 10,
Glendale, CA 91204-1979

Ph: (310) 424-0413
Karen Ashley Cruz,
625 Hilby Ave,
Seaside, CA 93955-5720

Ph: (831) 394-1691

Reviews and Comments


Nurse Practitioner Nurses in Seaside, CA

Ms. Kerry R Newlin, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 625 Hilby Ave, Seaside, CA 93955
Phone: 831-394-1691    Fax: 831-394-1870
Ms. Lara Shipley, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1130 Fremont Blvd, Suite 210b, Seaside, CA 93955
Phone: 831-728-0222    Fax: 831-707-2777
Jamie Reeder, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 625 Hilby Ave, Seaside, CA 93955
Phone: 831-394-1691    Fax: 831-394-1870
Maliheh Bakhshi, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 915 Hilby Ave Ste 22, Seaside, CA 93955
Phone: 831-800-1593    
Veronica L. Alvarez, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 625 Hilby Ave, Seaside, CA 93955
Phone: 831-394-1691    
Mrs. Shelley Mercadal, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 625 Hilby Ave, Seaside, CA 93955
Phone: 831-394-1691    Fax: 831-394-1870

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.