DR. RAQUEL M RIVERA CRUZ MD
NPI 1649700337
Family Medicine in Pine Bluff, AR

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
1801 W 40TH AVE STE 6A, PINE BLUFF, AR 71603(870) 541-7393(870) 541-0109 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Dec 19, 2025, Aug 25, 2023 and 4 more (7 updates tracked since 2017).

About Dr. Raquel M Rivera Cruz Md NPPES

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

DR. RAQUEL M RIVERA CRUZ MD (NPI 1649700337) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E-15764) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649700337
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAQUEL M RIVERA CRUZCredential: MD
Location Address1801 W 40TH AVE STE 6APine Bluff, AR 71603-6963
Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7211 · Fax (870) 541-4297
Fax(870) 541-0109
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateMarch 13, 20267 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1649700337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AR · E-15764 Licensed in AL · 51856 Licensed in AZ · R76899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1801 W 40TH AVE STE 6A, Pine Bluff, AR 71603

Secondary Practice Locations 4

Location 13950 S Country Club Rd Ste 130Tucson, AZ 85714 · Phone (520) 874-4800
Location 21601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · Phone (870) 541-6010
Location 3550 SERGIO CUEVAS BUSTAMANTESAN JUAN, PR 00918-3804 · Phone (787) 758-8383 ext. 8494
Location 41643 NW 136th Ave Bldg HSunrise, FL 33323-3091 · Phone (256) 837-8585 ext. 01394 · Fax (865) 347-5181

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Raquel M Rivera Cruz Md 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 ID7012268501
PECOS Enrollment IDI20220901003433, I20260206000279
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
450 services201 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
397 services200 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
70 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
67 services65 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
60 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

Family Medicine
1801 W 40TH AVE STE 6A
PINE BLUFF, AR 71603
Family Medicine
1801 W 40TH AVE STE 6A
PINE BLUFF, AR 71603

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 Raquel Rivera Cruz's NPI number?

The NPI number for Raquel Rivera Cruz is 1649700337. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Raquel Rivera Cruz located?

Raquel Rivera Cruz practices at 1801 W 40th Ave Ste 6A, Pine Bluff, AR 71603. The listed phone number is (870) 541-7393.

What is Raquel Rivera Cruz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raquel Rivera Cruz enrolled in Medicare?

Yes. Raquel Rivera 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.

What insurance does Raquel Rivera Cruz accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Raquel Rivera 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 Raquel Rivera Cruz was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.