KEVIN CRUZ PMHNP
NPI 1265273650
Nurse Practitioner - Psychiatric/Mental Health in Newport, DE
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newport, DE 19804
- Reassigned Medicare billing, Delaware enrollment
- 17 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.
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.
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.
WILMINGTON, DE 19804
WILMINGTON, DE 19804
WILMINGTON, DE 19804
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.
Which organization bills Medicare for Kevin Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Cruz reassigns Medicare benefits to Delaware Behavioral Health, Inc. (Newport, DE). 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 Kevin Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Cruz accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer 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.
# Kevin Cruz, PMHNP · NPI 1265273650
Psychiatric/Mental Health physician in Newport, Delaware. Individual provider, active in the CMS NPPES registry since June 1, 2024.
## Identity
- **NPI:** 1265273650 (Entity type: Individual)
- **Enumerated:** June 1, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** L8-0010667 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 N JAMES ST STE 200, Newport, DE 19804-3171
- **Phone:** (302) 312-4909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Delaware Behavioral Health, Inc. (NPI 1164864021, Newport, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265273650) · Data from the CMS NPPES public registry.