YELENA KRUSE AGCNS-BC
NPI 1417320573
Clinical Nurse Specialist - Gerontology in San Rafael, CA

Q: What is Yelena Kruse's NPI number?

The NPI number for Yelena Kruse is 1417320573. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Q: What is Yelena Kruse's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Q: When was this NPI record last updated?

The NPPES record for Yelena Kruse was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 10, 2015

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2349 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Feb 12, 2016, Nov 10, 2015 (3 updates tracked since 2015).

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About Yelena Kruse Agcns-bc NPPES

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

YELENA KRUSE AGCNS-BC (NPI 1417320573) is an individual gerontology provider in San Rafael, California, licensed in California (4370) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1417320573

Entity TypeIndividualFemale

Primary Taxonomy364SG0600X

Provider Legal NameYELENA KRUSECredential: AGCNS-BC

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 444-2349

Phone(415) 444-2349

Sole ProprietorYes

Enumeration DateNovember 10, 2015

Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration

✔ NPI 1417320573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SG0600X

License✔ Licensed in CA · 4370

Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 4370 (CA)

99 MONTECILLO RD, San Rafael, CA 94903

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)