GUILLERMO PALACIOS CRUZ DNP
NPI 1205723509
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Q: What is Guillermo Palacios Cruz's NPI number?

The NPI number for Guillermo Palacios Cruz is 1205723509. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Q: What is Guillermo Palacios Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 19, 2025PECOS EnrolledAccepts Medicare Assignment

1635 W NATIONAL AVE, MILWAUKEE, WI 53204(414) 672-1353 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Guillermo Palacios Cruz Dnp NPPES

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

GUILLERMO PALACIOS CRUZ DNP (NPI 1205723509) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (16914-33) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205723509

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameGUILLERMO PALACIOS CRUZCredential: DNP

Location Address1635 W NATIONAL AVEMilwaukee, WI 53204-1130

Mailing Address1635 W National AveMilwaukee, WI 53204-1130 · (414) 672-1353

Phone(414) 672-1353

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 19, 2025

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1205723509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 16914-33

1635 W NATIONAL AVE, Milwaukee, WI 53204

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Secondary Practice Locations 4

Location 1309 E North StWaukesha, WI 53188-3718 · Phone (414) 672-1353

Location 21032 S CESAR E CHAVEZ DRMILWAUKEE, WI 53204-2203 · Phone (414) 672-1353

Location 34570 S 27th StMilwaukee, WI 53221-2145 · Phone (414) 672-1353

Location 42906 S 20th StMilwaukee, WI 53215-3732 · Phone (414) 672-1353

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.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

Guillermo Palacios Cruz Dnp 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 ID5193219103

PECOS Enrollment IDI20251208002810

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 Reassignment

Medicare enrollment records show Guillermo Palacios Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sixteenth Street Community Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

1635 W NATIONAL AVE
Milwaukee, WI 53204

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: 16th Street Community Health Center Inc.
147 clinicians in this Medicare group

NPI 1316587439 (414) 672-1353

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 53204 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 8

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

MRS. TINIKA KIMBERLY ALDRIDGE PMHNP

Nurse Practitioner (Psychiatric/Mental Health)