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KARINA CRUZ-KING
NPI 1659197192
Nurse Practitioner - Women's Health in Rock Hill, NY

Active since December 02, 2024PECOS EnrolledAccepts Medicare Assignment
195 LAKE LOUISE MARIE RD, ROCK HILL, NY 12775(845) 794-1400 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karina Cruz-king NPPES

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

KARINA CRUZ-KING (NPI 1659197192) is an individual women's health provider in Rock Hill, New York, licensed in New York (F421724-01) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659197192
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKARINA CRUZ-KING
Location Address195 LAKE LOUISE MARIE RDRock Hill, NY 12775-6640
Mailing Address195 Lake Louise Marie RdRock Hill, NY 12775-6640
Phone(845) 794-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 1, 2024
✔ NPI 1659197192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F421724-01
195 LAKE LOUISE MARIE RD, Rock Hill, NY 12775
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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

Karina Cruz-king 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 ID8729574413
PECOS Enrollment IDI20251231003984
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 Reassignment

Medicare enrollment records show Karina Cruz-king reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Womans Way Midwifery PC
44 mi
Midwife
300 N MAIN ST STE 205
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1598397051 (845) 356-1430

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 12775 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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

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

THE CENTER FOR DISCOVERY INC
Intermediate Care Facility, Intellectual Disabilities
195 LAKE LOUISE MARIE RD
ROCK HILL, NY 12775
Sullivan County (845) 707-1400

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 Karina Cruz-king's NPI number?

The NPI number for Karina Cruz-king is 1659197192. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Karina Cruz-king located?

Karina Cruz-king practices at 195 Lake Louise Marie Rd, Rock Hill, NY 12775. The listed phone number is (845) 794-1400.

What is Karina Cruz-king's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Karina Cruz-king enrolled in Medicare?

Yes. Karina Cruz-king 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 organization bills Medicare for Karina Cruz-king's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karina Cruz-king reassigns Medicare benefits to Womans Way Midwifery PC (Spring Valley, NY). The 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 Karina Cruz-king'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 Karina Cruz-king was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.