MONICA CRUZ-GUEL NP
NPI 1164070652
Nurse Practitioner - Family in San Antonio, TX

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment
2925 WEST AVE, SAN ANTONIO, TX 78201(210) 761-3393 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Aug 28, 2019 (2 updates tracked since 2019).

About Monica Cruz-guel Np NPPES

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

MONICA CRUZ-GUEL NP (NPI 1164070652) is an individual family provider in San Antonio, Texas, licensed in Texas (AP142406) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seguin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164070652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA CRUZ-GUELCredential: NP
Location Address2925 WEST AVESan Antonio, TX 78201-2243
Mailing Address2925 West AveSan Antonio, TX 78201-2243 · (210) 761-3393
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 28, 2019
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1164070652 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 TX · AP142406
2925 WEST AVE, San Antonio, TX 78201

Secondary Practice Location 1

Location 11483 E Court StSeguin, TX 78155-5165 · Phone (830) 560-2813

Accepted Insurance

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

Monica Cruz-guel Np 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 ID345570016
PECOS Enrollment IDI20190923001754
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78201 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

Family Medicine
2925 WEST AVE
SAN ANTONIO, TX 78201
General Practice
2925 WEST AVE
SAN ANTONIO, TX 78201
Nurse Practitioner (Family)
2925 WEST AVE
SAN ANTONIO, TX 78201
Nurse Practitioner (Family)
2925 WEST AVE
SAN ANTONIO, TX 78201

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 Monica Cruz-guel's NPI number?

The NPI number for Monica Cruz-guel is 1164070652. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Monica Cruz-guel located?

Monica Cruz-guel practices at 2925 West Ave, San Antonio, TX 78201. The listed phone number is (210) 761-3393.

What is Monica Cruz-guel's specialty?

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

Is Monica Cruz-guel enrolled in Medicare?

Yes. Monica Cruz-guel 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.

What insurance does Monica Cruz-guel accept?

Health plans from Molina Healthcare list Monica Cruz-guel 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 Monica Cruz-guel was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.