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AMY CRUICKSHANK D.O.
NPI 1104140086
Pediatrics - Pediatric Hematology-Oncology in Roseville, CA

Active since March 20, 2010PECOS Enrolled
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 474-2250(916) 474-2251 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Mar 21, 2023, Feb 2, 2023 and 5 more (8 updates tracked since 2016).

About Amy Cruickshank D.o. NPPES

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

AMY CRUICKSHANK D.O. (NPI 1104140086) is an individual pediatric hematology-oncology provider in Roseville, California, licensed in California (14470) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104140086
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameAMY CRUICKSHANKCredential: D.O.
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1600 Eureka RdRoseville, CA 95661-3027 · (916) 474-2250 · Fax (916) 474-2251
Phone(916) 474-2250
Fax(916) 474-2251
Sole ProprietorNo
Enumeration DateMarch 20, 2010
Last NPPES UpdateSeptember 4, 20248 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1104140086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in CA · 14470✔ Licensed in TX · U1254
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1600 EUREKA RD, Roseville, CA 95661
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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 (PECOS)

Amy Cruickshank D.o. 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.

DR. VESNA IVANCIC COCHELL MD
Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
LYNN TUYET NGUYEN PHARM.D
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MR. BRYCE PHILLIP CARTWRIGHT PHYSICAL THERAPIST
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4954
QUAN T. NGUYEN MD
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
JAMES H. HEYKES MD
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. LINDA ROSE BROWN NP
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Placer County (916) 784-5003
SCOTT W. ADAMS MD
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4000
CAROL LYNN SCHULZ PHARM.D.
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Placer County (916) 784-4184

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 Amy Cruickshank's NPI number?

The NPI number for Amy Cruickshank is 1104140086. It was assigned to this individual provider in the NPPES registry on March 20, 2010.

Where is Amy Cruickshank located?

Amy Cruickshank practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 474-2250.

What is Amy Cruickshank's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Amy Cruickshank enrolled in Medicare?

Yes. Amy Cruickshank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Cruickshank was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.