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DR. JACK CRUIKSHANK MD
NPI 1720746662
Internal Medicine in Yucca Valley, CA

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment
MORONGO BASIN COMMUNITY HEALTH CENTER, 58375 29 PALMS HWY, YUCCA VALLEY, CA 92284(760) 820-9229 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jack Cruikshank Md NPPES

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

DR. JACK CRUIKSHANK MD (NPI 1720746662) is an individual internal medicine provider in Yucca Valley, California, licensed in California (C174737) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Calgary, Faculty Of Medicine (2006).

NPPES Registry Identity

NPI1720746662
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACK CRUIKSHANKCredential: MD
Location AddressMORONGO BASIN COMMUNITY HEALTH CENTER, 58375 29 PALMS HWYYucca Valley, CA 92284
Mailing Address1111 E Palm Canyon Dr Unit 120Palm Springs, CA 92264-9199 · (403) 835-9023
Phone(760) 820-9229
Sole ProprietorNo
Medical School CMSUniversity Of Calgary, Faculty Of MedicineGraduated 2006
Enumeration DateDecember 7, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1720746662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · C174737
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
MORONGO BASIN COMMUNITY HEALTH CENTER, Yucca Valley, CA 92284
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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

Dr. Jack Cruikshank 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 ID5496141616
PECOS Enrollment IDI20220414002211
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 Jack Cruikshank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hi-Desert Memorial Health Care District
22 mi
Federally Qualified Health Center (FQHC)
6380 SPLIT ROCK AVE STE
29 Palms, CA 92277
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1053733527 (760) 365-9305

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 92284 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Jack Cruikshank's NPI number?

The NPI number for Jack Cruikshank is 1720746662. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Jack Cruikshank located?

Jack Cruikshank practices at Morongo Basin Community Health Center 58375 29 Palms Hwy, Yucca Valley, CA 92284. The listed phone number is (760) 820-9229.

What is Jack Cruikshank's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Cruikshank enrolled in Medicare?

Yes. Jack Cruikshank 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 Jack Cruikshank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Cruikshank reassigns Medicare benefits to Hi-Desert Memorial Health Care District (29 Palms, CA). 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 Jack Cruikshank'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 Jack Cruikshank was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.