1. Home
  2. Directory
  3. Washington
  4. Grandview
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

IVAN CRUSE MD
NPI 1013769553
Student in an Organized Health Care Education/Training Program in Grandview, WA

Active since April 05, 2024PECOS Enrolled
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Cruse Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN CRUSE MD (NPI 1013769553) is an individual student in an organized health care education/training program in Grandview, Washington and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013769553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIVAN CRUSECredential: MD
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing Address12636 Agave Bay StVictorville, CA 92392-4817
Phone(509) 882-3444
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1013769553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 WALLACE WAY, Grandview, WA 98930
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Cruse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARCIA KARIN WAGNER M.S., R.D., C.D.
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-4707
DR. LISA NGUYEN DO
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 788-1702
SHEHLA FARHAN HASHMI DENTIST
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
BLAKE J BOND M.D.
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
PAIGE BRIGGS RD
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
YAKIMA VALLEY FARM WORKERS CLINIC
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3977
EDITH ISBEL NORIEGA CORNEJO
Counselor
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-8918
THATCHER THOMAS HARLAN FELT
Pediatrics
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Cruse's NPI number?

The NPI number for Ivan Cruse is 1013769553. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Ivan Cruse located?

Ivan Cruse practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Ivan Cruse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ivan Cruse enrolled in Medicare?

Yes. Ivan Cruse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Cruse was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.