Mrs Jessica Cruz, LPN - Licensed Practical Nurse in Ridgeland, SC

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Mrs Jessica Cruz, LPN is a Licensed Practical Nurse based in Ridgeland, South Carolina. Mrs Jessica Cruz is licensed to practice in South Carolina (license number 54453) and her current practice location is 124 Boardwalk Dr Ste A, Ridgeland, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 645-2770.

NPI number for Mrs Jessica Cruz is 1710857123 and her current mailing address is 102 Saluda Way, Beaufort, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710857123.

Contact Information

Mrs Jessica Cruz, LPN
124 Boardwalk Dr Ste A,
Ridgeland, SC 29936-7994
(843) 645-2770
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Cruz
GenderFemale
SpecialityLicensed Practical Nurse
Location124 Boardwalk Dr Ste A, Ridgeland, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710857123
  • Provider Enumeration Date: 11/10/2025
  • Last Update Date: 11/10/2025

Medical Identifiers

Medical identifiers for Mrs Jessica Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710857123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 54453 (South Carolina)Primary

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. Mrs Jessica Cruz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jessica Cruz, LPN
102 Saluda Way,
Beaufort, SC 29906-6043

Ph: (843) 441-8492		Mrs Jessica Cruz, LPN
124 Boardwalk Dr Ste A,
Ridgeland, SC 29936-7994

Ph: (843) 645-2770

Reviews and Comments


Licensed Practical Nurse Nurses in Ridgeland, SC

Paula Marie Willis, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 651 Grays Hwy, Ridgeland, SC 29936
Phone: 843-726-7788    Fax: 843-726-5320

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.