WILMARIE RIOS CRUZ
NPI 1245997550
Counselor - Professional in Sicklerville, NJ
About Wilmarie Rios Cruz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMARIE RIOS CRUZ (NPI 1245997550) is an individual professional provider in Sicklerville, New Jersey, licensed in New Jersey (37PC01038200) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Wilmarie Rios Cruz 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.
Medicare Billing Reassignment
Medicare enrollment records show Wilmarie Rios Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 116 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wilmarie Rios Cruz's NPI number?
The NPI number for Wilmarie Rios Cruz is 1245997550. It was assigned to this individual provider in the NPPES registry on November 22, 2021.
Where is Wilmarie Rios Cruz located?
Wilmarie Rios Cruz practices at 628 Johnson Rd, Sicklerville, NJ 08081. The listed phone number is (609) 315-5891.
What is Wilmarie Rios Cruz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Wilmarie Rios Cruz enrolled in Medicare?
Yes. Wilmarie Rios 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.
Which organization bills Medicare for Wilmarie Rios Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wilmarie Rios Cruz reassigns Medicare benefits to Nj Behavioral Health Services PC (Paramus, NJ). The 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 Wilmarie Rios Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wilmarie Rios Cruz accept?
Health plans from Oscar Health list Wilmarie Rios 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 Wilmarie Rios Cruz was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Wilmarie Rios Cruz · NPI 1245997550
Professional provider in Sicklerville, New Jersey. Individual provider, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1245997550 (Entity type: Individual)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01038200 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 628 JOHNSON RD, Sicklerville, NJ 08081-9554
- **Phone:** (609) 315-5891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nj Behavioral Health Services PC (NPI 1447289376, Paramus, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 6, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1245997550) · Data from the CMS NPPES public registry.