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

Q: 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.

Q: What is Jack Cruikshank's specialty?

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

Q: 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.

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: September 06, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.