1. Home
  2. Directory
  3. Pennsylvania
  4. Kingston
  5. Nurse Practitioner
  6. NPI Profile

MRS. GLORYMARDY CRUZ FNP-BC
NPI 1124786041
Nurse Practitioner - Family in Kingston, PA

Active since December 08, 2021PECOS Enrolled
511 PIERCE ST, KINGSTON, PA 18704(570) 714-3333 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2026, Nov 28, 2022, Nov 21, 2022 and 1 more (4 updates tracked since 2021).

About Mrs. Glorymardy Cruz Fnp-bc NPPES

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

MRS. GLORYMARDY CRUZ FNP-BC (NPI 1124786041) is an individual family provider in Kingston, Pennsylvania, licensed in Pennsylvania (SP024256) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124786041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GLORYMARDY CRUZCredential: FNP-BC
Location Address511 PIERCE STKingston, PA 18704-5731
Mailing AddressPo Box 1885Kingston, PA 18704-0885 · (570) 288-8881
Phone(570) 714-3333
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 8, 2021
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1124786041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP024256
511 PIERCE ST, Kingston, PA 18704
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Glorymardy Cruz Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466821715
PECOS Enrollment IDI20221208003289
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

3

Medicare enrollment records show Glorymardy Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Center Of Northeastern PA LLC
Same address
Internal Medicine
511 PIERCE ST
Kingston, PA 18704
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
NPI 1063715639 (570) 714-3333
Ultra Care Urgent And Family Care
Same address
Urgent Care
511 PIERCE ST
Kingston, PA 18704
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
NPI 1205334729 (570) 714-3333
Children's Service Center Of Wyoming Valley, Inc
0.9 mi
Occupational Therapist
110 S PENNSYLVANIA AVE
Wilkes Barre, PA 18701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
NPI 1649060955 (570) 825-6425

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 10

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

MR. THOMAS MICKOWSKI CRNP
Nurse Practitioner (Family)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 243-3300
ANNTOINETTE ROMANOWSKI CRNP
Nurse Practitioner (Gerontology)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
MEDICAL CENTER OF NORTHEASTERN PA LLC
Internal Medicine
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
ULTRA CARE URGENT AND FAMILY CARE
Clinic/Center (Urgent Care)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
MRS. HEATHER TIFFANY ROSA I CRNP
Nurse Practitioner (Family)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
JESSICA K NATIVIDAD CRNP-FH
Nurse Practitioner (Family)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
EMILY MARGARET ROGAN
Nurse Practitioner (Family)
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333
BASANT KUMAR MITTAL M.D.
Internal Medicine
511 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-3333

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 Glorymardy Cruz's NPI number?

The NPI number for Glorymardy Cruz is 1124786041. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Glorymardy Cruz located?

Glorymardy Cruz practices at 511 Pierce St, Kingston, PA 18704. The listed phone number is (570) 714-3333.

What is Glorymardy Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Glorymardy Cruz enrolled in Medicare?

Yes. Glorymardy Cruz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glorymardy Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glorymardy Cruz reassigns Medicare benefits to 3 organizations: Medical Center Of Northeastern PA LLC (Kingston, PA), Ultra Care Urgent And Family Care (Kingston, PA) and Children's Service Center Of Wyoming Valley, Inc (Wilkes Barre, PA). 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 Glorymardy Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Glorymardy Cruz affiliated with any hospitals?

According to CMS data, Glorymardy Cruz is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Glorymardy Cruz was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.