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ISAI CRUZ FNP
NPI 1366276495
Nurse Practitioner - Family in Kenansville, NC

Active since August 30, 2024PECOS Enrolled
209 BEASLEY ST, KENANSVILLE, NC 28349(540) 769-3964(540) 473-3458 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2025, Sep 11, 2024 (2 updates tracked since 2024).

About Isai Cruz Fnp NPPES

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

ISAI CRUZ FNP (NPI 1366276495) is an individual family provider in Kenansville, North Carolina, licensed in North Carolina (5020757) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1366276495
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameISAI CRUZCredential: FNP
Location Address209 BEASLEY STKenansville, NC 28349-8727
Mailing Address130 Church Ave SwRoanoke, VA 24011-1906 · (540) 769-3964
Phone(540) 769-3964
Fax(540) 473-3458
Sole ProprietorNo
Enumeration DateAugust 30, 2024
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1366276495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5020757
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020757 (NC)
209 BEASLEY ST, Kenansville, NC 28349
Open in Google Maps ↗

Secondary Practice Location 1

Location 1512 Waughtown StWinston Salem, NC 27127-2236 · Phone (336) 515-1173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

Universal Health Corporation
194 mi
Internal Medicine
130 CHURCH AVE SW
Roanoke, VA 24011
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1407117625 (540) 769-3964
Summit Medical Carolinas PLLC
196 mi
Internal Medicine
1985 TATE BLVD SE STE 551
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1518697127 (980) 443-6788

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 28349 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

JENNIFER WILSON
Physical Therapy Assistant
209 BEASLEY ST
KENANSVILLE, NC 28349
Duplin County (910) 296-1561
AMBER WEIFENBACH
Occupational Therapy Assistant
209 BEASLEY ST
KENANSVILLE, NC 28349
Duplin County (910) 296-1561
KENANSVILLE OPCO LLC
Skilled Nursing Facility
209 BEASLEY ST
KENANSVILLE, NC 28349
Duplin County (908) 506-4204
JESSICA ROADMAN
Physical Therapy Assistant
209 BEASLEY ST
KENANSVILLE, NC 28349
Duplin County (910) 296-1561

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 Isai Cruz's NPI number?

The NPI number for Isai Cruz is 1366276495. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Isai Cruz located?

Isai Cruz practices at 209 Beasley St, Kenansville, NC 28349. The listed phone number is (540) 769-3964.

What is Isai Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Isai Cruz enrolled in Medicare?

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

Which organizations bill Medicare for Isai Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isai Cruz reassigns Medicare benefits to 2 organizations: Universal Health Corporation (Roanoke, VA) and Summit Medical Carolinas PLLC (Hickory, NC). 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 Isai Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isai Cruz accept?

Health plans from Blue Cross and Blue Shield of NC list Isai 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 Isai Cruz was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.