Jimmy Cruza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hawthorne, Nevada. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Platinum Wound Care Specialist and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 6 Years |
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| Location | 2 S Maine Ave Bldg 102-54, Hawthorne, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jimmy Cruza graduated from nursing school in 2019
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 |
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| 1063079234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 821250 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Platinum Wound Care Specialist | 1658718093 | 5 |
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 | Craig M Jorgenson Md Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831261460
PECOS PAC ID: 0941103303
Enrollment ID: O20040202000087 |
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| 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 | Ncc House Calls Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659721140
PECOS PAC ID: 3678849296
Enrollment ID: O20171026002901 |
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| Entity Name | Platinum Wound Care Specialist |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174208763
PECOS PAC ID: 1658718093
Enrollment ID: O20240321001693 |
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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 |
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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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