MARY ROSE DIANA KUAN DE LA CRUZ APRN
NPI 1619851953
Family Medicine - Geriatric Medicine in Las Vegas, NV

Q: What is Mary Rose Diana De La Cruz's NPI number?

The NPI number for Mary Rose Diana De La Cruz is 1619851953. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Q: What is Mary Rose Diana De La Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since July 31, 2025PECOS EnrolledAccepts Medicare Assignment

8905 W POST RD STE 110, LAS VEGAS, NV 89148(702) 927-6866 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary Rose Diana Kuan De La Cruz Aprn NPPES

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

MARY ROSE DIANA KUAN DE LA CRUZ APRN (NPI 1619851953) is an individual geriatric medicine provider in Las Vegas, Nevada, licensed in Nevada (891144) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Segundo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619851953

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameMARY ROSE DIANA KUAN DE LA CRUZCredential: APRN

Location Address8905 W POST RD STE 110Las Vegas, NV 89148-2429

Mailing Address432 Eastgate LnMartinez, CA 94553-4191 · (702) 927-6866

Phone(702) 927-6866

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 31, 2025

Last NPPES UpdateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1619851953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in NV · 891144

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 891144 (NV)

8905 W POST RD STE 110, Las Vegas, NV 89148

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Secondary Practice Location 1

Location 1222 N Pacific Coast Hwy Ste 1420El Segundo, CA 90245-5648 · Phone (877) 878-3289 · Fax (877) 817-3227

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

Mary Rose Diana Kuan De La Cruz Aprn 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 ID5294217378

PECOS Enrollment IDI20260306002598

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

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

Robert Marriott Medical Corp

231 mi

Surgery

222 N PACIFIC COAST HWY STE 2175
El Segundo, CA 90245

Reassigned Medicare billing, California enrollment
53 clinicians in this Medicare group

NPI 1083883938 (877) 878-3289

California Wound & Hyperbaric Specialists Inc

398 mi

Wound Care

2255 MORELLO AVE STE 121
Pleasant Hill, CA 94523

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1144105206 (510) 224-6556

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 89148 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

MEN'S DIVISION NV PLLC

Nurse Practitioner (Family)