Jimmy Cruza, FNP-C - Medicare Nurse Practitioner in Hawthorne, NV

Jimmy Cruza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hawthorne, Nevada. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063079234.

Contact Information

Jimmy Cruza, FNP-C
2 S Maine Ave Bldg 102-54,
Hawthorne, NV 89415-9404
(702) 981-2919
Not Available



Provider's Profile

Full NameJimmy Cruza
GenderMale
SpecialityNurse Practitioner - Family
Location2 S Maine Ave Bldg 102-54, Hawthorne, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1063079234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 821250 (Nevada)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. Jimmy Cruza allows following entities to bill medicare on his behalf.
Entity NameMinghsun Liu Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982002283
PECOS PAC ID: 8820315047
Enrollment ID: O20150327002039

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Entity NameHomer C Tuazon Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851766117
PECOS PAC ID: 2365745163
Enrollment ID: O20160128002274

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Entity NameSpencer J Hardenbrook Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073909594
PECOS PAC ID: 2062733546
Enrollment ID: O20201231000426

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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 AddressPractice Location Address
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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Nurse Practitioner Nurses in Hawthorne, NV


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