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YANCY CRUZ
NPI 1295147445
Counselor - Professional in Carbondale, IL

Active since May 22, 2014PECOS Enrolled
310 S PLOVER DR, CARBONDALE, IL 62901(787) 372-4808 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2025, Nov 13, 2025 (2 updates tracked since 2025).

About Yancy Cruz NPPES

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

YANCY CRUZ (NPI 1295147445) is an individual professional provider in Carbondale, Illinois, licensed in Illinois (180.016962) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295147445
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYANCY CRUZ
Location Address310 S PLOVER DRCarbondale, IL 62901-2030
Mailing AddressPo Box 3411Carbondale, IL 62902-3411 · (787) 372-4808
Phone(787) 372-4808
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2014
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1295147445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.016962
310 S PLOVER DR, Carbondale, IL 62901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yancy Cruz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476046988
PECOS Enrollment IDI20251203002162
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.

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 Yancy Cruz's NPI number?

The NPI number for Yancy Cruz is 1295147445. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Yancy Cruz located?

Yancy Cruz practices at 310 S Plover Dr, Carbondale, IL 62901. The listed phone number is (787) 372-4808.

What is Yancy Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Yancy Cruz enrolled in Medicare?

Yes. Yancy Cruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yancy Cruz was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.