1. Home
  2. Directory
  3. Florida
  4. Fort Pierce
  5. Nurse Practitioner
  6. NPI Profile

WILSON TADEU CRUZ
NPI 1619683778
Nurse Practitioner - Psychiatric/Mental Health in Fort Pierce, FL

Active since January 23, 2023PECOS Enrolled
1501 S 27TH ST, FORT PIERCE, FL 34947(772) 342-5485 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wilson Tadeu Cruz NPPES

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

WILSON TADEU CRUZ (NPI 1619683778) is an individual psychiatric/mental health provider in Fort Pierce, Florida, licensed in Florida (APRN11023000) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619683778
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILSON TADEU CRUZ
Location Address1501 S 27TH STFort Pierce, FL 34947-5701
Mailing Address1501 S 27th StFort Pierce, FL 34947-5701 · (772) 342-5485
Phone(772) 342-5485
Sole ProprietorYes
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1619683778 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
License✔ Licensed in FL · APRN11023000
1501 S 27TH ST, Fort Pierce, FL 34947
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Mcr Health, Inc.
128 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Balanced Wellbeing LLC
163 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200

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 34947 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Wilson Cruz's NPI number?

The NPI number for Wilson Cruz is 1619683778. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Wilson Cruz located?

Wilson Cruz practices at 1501 S 27th St, Fort Pierce, FL 34947. The listed phone number is (772) 342-5485.

What is Wilson Cruz's specialty?

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

Is Wilson Cruz enrolled in Medicare?

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

Which organizations bill Medicare for Wilson Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Cruz reassigns Medicare benefits to 2 organizations: Mcr Health, Inc. (Parrish, FL) and Balanced Wellbeing LLC (Ocala, FL). 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 Wilson 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 Wilson Cruz was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.