GERARD ADAM KRUSE LMSW
NPI 1093986853
Social Worker - Clinical in Orlando, FL

Active since March 19, 2008PECOS EnrolledAccepts Medicare Assignment
1400 N SEMORAN BLVD, SUITE E, ORLANDO, FL 32807(917) 301-0727 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2022, Sep 28, 2021 (2 updates tracked since 2021).

About Gerard Adam Kruse Lmsw NPPES

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

GERARD ADAM KRUSE LMSW (NPI 1093986853) is an individual clinical provider in Orlando, Florida, licensed in Colorado (CSW.09927314) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1093986853
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGERARD ADAM KRUSECredential: LMSW
Location Address1400 N SEMORAN BLVD, SUITE EOrlando, FL 32807-3536
Mailing Address17337 Cheveyo CvCollege Station, TX 77845-7461 · (501) 470-8445
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 19, 2008
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1093986853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW.09927314
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License CSW.09927314 (CO)
1400 N SEMORAN BLVD, Orlando, FL 32807

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

Gerard Adam Kruse Lmsw 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 ID1759796253
PECOS Enrollment IDI20210216000234
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gerard Kruse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
50 UNION AVE STE 704
Irvington, NJ 07111
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Florida enrollment
  • 11 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 32807 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
1400 N SEMORAN BLVD, E
ORLANDO, FL 32807
Behavior Analyst
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Counselor (Pastoral)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Social Worker (Clinical)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Counselor
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Counselor (Mental Health)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Clinic/Center (Medical Specialty)
1400 N SEMORAN BLVD, SUITE F
ORLANDO, FL 32807
Counselor (Mental Health)
1400 N SEMORAN BLVD
ORLANDO, FL 32807

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 Gerard Kruse's NPI number?

The NPI number for Gerard Kruse is 1093986853. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Gerard Kruse located?

Gerard Kruse practices at 1400 N Semoran Blvd Suite E, Orlando, FL 32807. The listed phone number is (917) 301-0727.

What is Gerard Kruse's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gerard Kruse enrolled in Medicare?

Yes. Gerard Kruse 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 Gerard Kruse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Kruse reassigns Medicare benefits to 2 organizations: National Neurobehavioral Associates PC (Irvington, NJ) and Boston Neurobehavioral Associates, LLC (New Bedford, MA). 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 Gerard Kruse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerard Kruse accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Gerard Kruse 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 Gerard Kruse was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.