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MARISSA CRANDALL CRUZ D.M.D., M.S
NPI 1194123638
Dentist - Periodontics in Leesburg, FL

Active since December 16, 2014PECOS Enrolled
26540 ACE AVE, LEESBURG, FL 34748(352) 326-4404 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2019, Jan 5, 2019, Dec 12, 2018 (3 updates tracked since 2018).

About Marissa Crandall Cruz D.m.d., M.s NPPES

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

MARISSA CRANDALL CRUZ D.M.D., M.S (NPI 1194123638) is an individual periodontics provider in Leesburg, Florida, licensed in Florida (DN23797) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194123638
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMARISSA CRANDALL CRUZCredential: D.M.D., M.S
Location Address26540 ACE AVELeesburg, FL 34748-8279
Mailing Address949 N 14th StLeesburg, FL 34748-3838 · (352) 460-0164
Phone(352) 326-4404
Sole ProprietorYes
Enumeration DateDecember 16, 2014
Last NPPES UpdateDecember 17, 20193 updates tracked since enumeration
✔ NPI 1194123638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN23797
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DS039658 (PA)
26540 ACE AVE, Leesburg, FL 34748
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Crandall Cruz D.m.d., M.s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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 9

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

MR. BRIAN LEWIS MUNDY PT
Physical Therapist
26540 ACE AVE, STE B
LEESBURG, FL 34748
Lake County (352) 314-9810
TO YOUR HEALTH OF LAKE COUNTY INC
Internal Medicine
26540 ACE AVE, SUITE 108C
LEESBURG, FL 34748
Lake County (352) 326-5281
MR. MOHAMED NAZIH AYADI M.D.
Specialist
26540 ACE AVE, SUIRE 109-A
LEESBURG, FL 34748
Lake County (352) 504-0294
ENDEAVOR CHIROPRACTIC LLC
Chiropractor
26540 ACE AVE, SUITE 108
LEESBURG, FL 34748
Lake County (352) 326-5551
PRECISION HOME HEALTH CARE
Home Health
26540 ACE AVE, SUITE 101 - J
LEESBURG, FL 34748
Lake County (352) 787-4119
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Family Medicine
26540 ACE AVE, SUITE 108
LEESBURG, FL 34748
Lake County (352) 787-5617
HIGHLAND CHIROPRACTIC INC
Chiropractor
26540 ACE AVE
LEESBURG, FL 34748
Lake County (352) 638-9090
EPIC TELERADIOLOGY LLC
Radiology (Diagnostic Radiology)
26540 ACE AVE, SUITE A
LEESBURG, FL 34748
Lake County (352) 323-0938

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 Marissa Crandall Cruz's NPI number?

The NPI number for Marissa Crandall Cruz is 1194123638. It was assigned to this individual provider in the NPPES registry on December 16, 2014.

Where is Marissa Crandall Cruz located?

Marissa Crandall Cruz practices at 26540 Ace Ave, Leesburg, FL 34748. The listed phone number is (352) 326-4404.

What is Marissa Crandall Cruz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Marissa Crandall Cruz enrolled in Medicare?

Yes. Marissa Crandall Cruz is registered in the Medicare PECOS enrollment system.

What insurance does Marissa Crandall Cruz accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Marissa Crandall Cruz 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 Marissa Crandall Cruz was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.