| Jacqueline De La Cruz, | |
| 
					15290 Nw 128th St, Platte City, MO 64079-7332  | |
| (816) 517-2283 | |
| Not Available | 
| Full Name | Jacqueline De La Cruz | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 15290 Nw 128th St, Platte City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902658677 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024003027 (Missouri) | Primary | 
| Entity Name | Samuel U Rodgers Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578570982 PECOS PAC ID: 9739092826 Enrollment ID: O20031105000813  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jacqueline De La Cruz, 15290 Nw 128th St, Platte City, MO 64079-7332 Ph: (816) 517-2283  | Jacqueline De La Cruz, 15290 Nw 128th St, Platte City, MO 64079-7332 Ph: (816) 517-2283  | 
Melissa Bush,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Platte Falls Rd, Platte City, MO 64079 Phone: 816-858-2713  | |
Abigail L Kidwell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 Running Horse Rd, Platte City, MO 64079 Phone: 816-858-7050 Fax: 816-858-7055  | |
Ms. Janice Gladman, RN, MSN,CS, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Running Horse Road, Platte City, MO 64079 Phone: 816-858-2200 Fax: 816-858-3611  | |
Melissa Shay Stein, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Running Horse Rd, Platte City, MO 64079 Phone: 816-858-2200 Fax: 816-858-3611  | |
Annette Behney,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Platte Falls Rd, Platte City, MO 64079 Phone: 612-225-1538  | |
Miranda Poncy, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Plaza Court, Platte City, MO 64079 Phone: 816-858-2167  | |
Ms. Wendy Lynn Saliger, RN, BSN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Platte Falls Road, Minute Clinic, Platte City, MO 64079 Phone: 816-858-2713  |