NICOLETTE ROSE CRUZ PMHNP-BC
NPI 1023900669
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Cruz was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2025PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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 (756705) 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

NPI1023900669

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLETTE ROSE CRUZCredential: PMHNP-BC

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address27 Norwood LnRonkonkoma, NY 11779-3317 · (631) 559-7476

Phone(631) 689-8333

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1023900669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 756705

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4789174004

PECOS Enrollment IDI20251105003538

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.

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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

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