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JEZREEL CRUZ AGPCNP-BC
NPI 1366266538
Nurse Practitioner - Gerontology in Eastvale, CA

Active since November 13, 2024PECOS Enrolled
12332 HEARTSTONE CIR APT A, EASTVALE, CA 91752(661) 303-5782 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jezreel Cruz Agpcnp-bc NPPES

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

JEZREEL CRUZ AGPCNP-BC (NPI 1366266538) is an individual gerontology provider in Eastvale, California, licensed in California (2024072993) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366266538
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJEZREEL CRUZCredential: AGPCNP-BC
Location Address12332 HEARTSTONE CIR APT AEastvale, CA 91752-6658
Mailing Address12332 Heartstone Cir Apt AEastvale, CA 91752-6658 · (661) 303-5782
Phone(661) 303-5782
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1366266538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 2024072993
12332 HEARTSTONE CIR APT A, Eastvale, CA 91752
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jezreel Cruz Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476041468
PECOS Enrollment IDI20251022000692
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jezreel Cruz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jun R. Chiong, MD, Mph, Inc.
19 mi
Internal Medicine
461 TENNESSEE ST STE C
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1093099046 (909) 475-7371
Medex Specialty Network, Inc.
19 mi
Cardiovascular Disease
461 TENNESSEE ST STE C
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1659134252 (909) 809-0289

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 91752 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Jezreel Cruz's NPI number?

The NPI number for Jezreel Cruz is 1366266538. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Jezreel Cruz located?

Jezreel Cruz practices at 12332 Heartstone Cir Apt A, Eastvale, CA 91752. The listed phone number is (661) 303-5782.

What is Jezreel Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jezreel Cruz enrolled in Medicare?

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

Which organizations bill Medicare for Jezreel Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jezreel Cruz reassigns Medicare benefits to 2 organizations: Jun R. Chiong, MD, Mph, Inc. (Redlands, CA) and Medex Specialty Network, Inc. (Redlands, CA). Each 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 Jezreel Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jezreel Cruz was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.