KEVIN CRUZ PMHNP
NPI 1265273650
Nurse Practitioner - Psychiatric/Mental Health in Newport, DE

Active since June 01, 2024PECOS EnrolledAccepts Medicare Assignment
240 N JAMES ST STE 200, NEWPORT, DE 19804(302) 312-4909 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Cruz Pmhnp NPPES

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

KEVIN CRUZ PMHNP (NPI 1265273650) is an individual psychiatric/mental health provider in Newport, Delaware, licensed in Delaware (L8-0010667) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265273650
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKEVIN CRUZCredential: PMHNP
Location Address240 N JAMES ST STE 200Newport, DE 19804-3171
Mailing Address240 N James St Ste 200Newport, DE 19804-3171 · (302) 312-4909
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 1, 2024
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
NPI 1265273650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in DE · L8-0010667
Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0055266 (DE)
240 N JAMES ST STE 200, Newport, DE 19804

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

Kevin Cruz Pmhnp 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 ID5698209252
PECOS Enrollment IDI20241105003830
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 19804 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Nurse Practitioner (Psychiatric/Mental Health)
240 N JAMES ST STE 200
WILMINGTON, DE 19804
Nurse Practitioner (Psychiatric/Mental Health)
240 N JAMES ST STE 200
WILMINGTON, DE 19804
Nurse Practitioner (Psychiatric/Mental Health)
240 N JAMES ST STE 200
WILMINGTON, DE 19804
Nurse Practitioner (Psychiatric/Mental Health)
240 N JAMES ST STE 200
WILMINGTON, DE 19804

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 Kevin Cruz's NPI number?

The NPI number for Kevin Cruz is 1265273650. It was assigned to this individual provider in the NPPES registry on June 1, 2024.

Where is Kevin Cruz located?

Kevin Cruz practices at 240 N James St Ste 200, Newport, DE 19804. The listed phone number is (302) 312-4909.

What is Kevin Cruz's specialty?

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

Is Kevin Cruz enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Cruz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Kevin 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 Kevin Cruz was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.