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CLARIBEL CRUZ PMHNP-BC
NPI 1497628929
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since September 29, 2025PECOS EnrolledAccepts Medicare Assignment
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903(401) 829-2906(401) 895-3771 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Claribel Cruz Pmhnp-bc NPPES

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

CLARIBEL CRUZ PMHNP-BC (NPI 1497628929) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN04906) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Holyoke, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497628929
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLARIBEL CRUZCredential: PMHNP-BC
Location Address10 DORRANCE ST STE 700Providence, RI 02903-2014
Mailing Address72 Shady Hill DrWest Warwick, RI 02893-2337 · (401) 829-2906 · Fax (401) 895-3771
Phone(401) 829-2906
Fax(401) 895-3771
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1497628929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in RI · APRN04906✔ Licensed in MA · RN2349975✔ Licensed in CT · 16598
10 DORRANCE ST STE 700, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11233 Main StHolyoke, MA 01040-5381 · Phone (413) 701-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Claribel Cruz Pmhnp-bc 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.

PECOS PAC ID840770772
PECOS Enrollment IDI20260218002278
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

3

Medicare enrollment records show Claribel Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Supportive Care I Of Rhode Island PC
1.2 mi
Clinical
17 ADELPHI AVE
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 95 clinicians in this Medicare group
NPI 1912666454 (718) 298-4375
Supportive Behavioral Care Of Ma LLC
32 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375
Holyoke Capital Jv, LLC
67 mi
Psychiatric Hospital
1233 MAIN ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group
NPI 1649856618 (413) 701-2600

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 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

NNEMEKA A OKPALA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (617) 419-0482
XAVIER RAE THOMAS
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
YASMEEN ROSE AL RAJABI
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
QUADRANT RI VIRTUAL CARE P.C.
Pediatrics
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (866) 219-8595
DARIANNYS SANTOS-RIVAS
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
ANNA TORREGROSSA
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
SONDRA ELISE NATALE
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
LOTS OF LOVE AFC LLC
Custodial Care Facility (Adult Care Home)
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (401) 244-7448

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 Claribel Cruz's NPI number?

The NPI number for Claribel Cruz is 1497628929. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Claribel Cruz located?

Claribel Cruz practices at 10 Dorrance St Ste 700, Providence, RI 02903. The listed phone number is (401) 829-2906.

What is Claribel Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Claribel Cruz enrolled in Medicare?

Yes. Claribel 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 organizations bill Medicare for Claribel Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claribel Cruz reassigns Medicare benefits to 3 organizations: Supportive Care I Of Rhode Island PC (Providence, RI), Supportive Behavioral Care Of Ma LLC (Needham, MA) and Holyoke Capital Jv, LLC (Holyoke, MA). 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 Claribel Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claribel Cruz accept?

Health plans from Harvard Pilgrim Health Care list Claribel 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 Claribel Cruz was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.