MARILOU CRUZ APN
NPI 1235672916
Nurse Practitioner - Adult Health in Lakewood, NJ

Active since November 29, 2016PECOS EnrolledAccepts Medicare Assignment
685 RIVER AVE, SUITE 3, LAKEWOOD, NJ 08701(732) 987-3855(732) 282-7200 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marilou Cruz Apn NPPES

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

MARILOU CRUZ APN (NPI 1235672916) is an individual adult health provider in Lakewood, New Jersey, licensed in New Jersey (26NJ00676900) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235672916
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARILOU CRUZCredential: APN
Location Address685 RIVER AVE, SUITE 3Lakewood, NJ 08701-5288
Mailing Address685 River Ave, Suite 3Lakewood, NJ 08701-5288 · (732) 987-3855
Fax(732) 282-7200
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 29, 2016
NPI 1235672916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00676900
685 RIVER AVE, Lakewood, NJ 08701

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

Marilou Cruz Apn 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 ID1153603576
PECOS Enrollment IDI20170119002766
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
273 services273 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
240 services237 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
240 services237 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
113 services113 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
113 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 20

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

Speech-Language Pathologist
685 RIVER AVE
LAKEWOOD, NJ 08701
Occupational Therapist
685 RIVER AVE
LAKEWOOD, NJ 08701
Occupational Therapist
685 RIVER AVE
LAKEWOOD, NJ 08701
Speech-Language Pathologist
685 RIVER AVE
LAKEWOOD, NJ 08701
Speech-Language Pathologist
685 RIVER AVE
LAKEWOOD, NJ 08701
Behavior Technician
685 RIVER AVE
LAKEWOOD, NJ 08701
Speech-Language Pathologist
685 RIVER AVE
LAKEWOOD, NJ 08701
Physical Therapist
685 RIVER AVE
LAKEWOOD, NJ 08701

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 Marilou Cruz's NPI number?

The NPI number for Marilou Cruz is 1235672916. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Marilou Cruz located?

Marilou Cruz practices at 685 River Ave Suite 3, Lakewood, NJ 08701. The listed phone number is (732) 987-3855.

What is Marilou Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marilou Cruz enrolled in Medicare?

Yes. Marilou Cruz 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.

When was this NPI record last updated?

The NPPES record for Marilou Cruz was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.