NICOLETTE ROSE CRUZ PMHNP-BC
NPI 1023900669
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY
About Nicolette Rose Cruz Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLETTE ROSE CRUZ PMHNP-BC (NPI 1023900669) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (407351) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicolette Rose Cruz Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nicolette Cruz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 133 clinicians in this Medicare group
Ann Arbor, MI 48104
- Reassigned Medicare billing, New York enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Nicolette Cruz's NPI number?
The NPI number for Nicolette Cruz is 1023900669. It was assigned to this individual provider in the NPPES registry on July 17, 2025.
Where is Nicolette Cruz located?
Nicolette Cruz practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.
What is Nicolette Cruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicolette Cruz enrolled in Medicare?
Yes. Nicolette Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicolette Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Cruz reassigns Medicare benefits to 2 organizations: Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY) and Aldad Medical PC (Ann Arbor, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolette Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicolette Cruz accept?
Health plans from Oscar Health list Nicolette Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicolette Cruz was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Nicolette Rose Cruz, PMHNP-BC · NPI 1023900669
Psychiatric/Mental Health physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1023900669 (Entity type: Individual)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 407351 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NICOLLS RD, Stony Brook, NY 11794-0001
- **Phone:** (631) 689-8333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stony Brook Psychiatric Associates, University Faculty Practice Corpor (NPI 1437105905, Stony Brook, NY); Aldad Medical PC (NPI 1174784953, Ann Arbor, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023900669) · Data from the CMS NPPES public registry.