Tracey K Cruz, is a
Licensed Practical Nurse based in Crown Point, Indiana. Tracey K Cruz is licensed to practice in Indiana (license number 27045242A) and her current practice location is
3359 Wallhaven Ct, Crown Point, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 308-4388.
NPI number for Tracey K Cruz is 1891622593 and her current mailing address is 3359 Wallhaven Ct, Crown Point, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891622593.
Provider's Profile
| Full Name | Tracey K Cruz |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3359 Wallhaven Ct, Crown Point, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891622593
- Provider Enumeration Date: 05/06/2026
- Last Update Date: 05/06/2026
Medical Identifiers
Medical identifiers for Tracey K Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891622593 | NPI | - | NPPES |
| 27045242A | Other | IN | NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 27045242A (Indiana) | 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. Tracey K 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 Address | Practice Location Address |
Tracey K Cruz, 3359 Wallhaven Ct, Crown Point, IN 46307-8920 Ph: () - | Tracey K Cruz, 3359 Wallhaven Ct, Crown Point, IN 46307-8920 Ph: (219) 308-4388 |
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