ASHLEY NICOLE CRUZ
NPI 1730612102
Hospitalist in Edinburg, TX

Q: What is Ashley Cruz's NPI number?

The NPI number for Ashley Cruz is 1730612102. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Ashley Cruz's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Cruz was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 04, 2017PECOS EnrolledAccepts Medicare Assignment

1102 W TRENTON RD, EDINBURG, TX 78539(956) 388-6000(956) 289-2956 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2020, Sep 9, 2020 (2 updates tracked since 2020).

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About Ashley Nicole Cruz NPPES

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

ASHLEY NICOLE CRUZ (NPI 1730612102) is an individual hospitalist provider in Edinburg, Texas, licensed in Texas (S4618) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730612102

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameASHLEY NICOLE CRUZ

Location Address1102 W TRENTON RDEdinburg, TX 78539-9105

Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 632-4000 · Fax (956) 961-4286

Phone(956) 388-6000

Fax(956) 289-2956

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 4, 2017

Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1730612102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TX · S4618

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License S4618 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1102 W TRENTON RD, Edinburg, TX 78539

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Secondary Practice Locations 2

Location 15501 S. McColl Road, Doctors Hospital at RenaissanceEdinburg, TX 78539 · Phone (956) 362-3553

Location 2301 W Expressway 83McAllen, TX 78503-3045 · Phone (956) 632-4000 · Fax (956) 961-4286

Other Identifiers 1

Other1F0830TX · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Ashley Nicole Cruz 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 ID143645820

PECOS Enrollment IDI20200729002253

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

106 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

29 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

SOUTH TEXAS HEALTH SYSTEM LLC

Rehabilitation Unit

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

WILSON C SY MD PA

Specialist

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 631-2529

WILLIAM JOHN NORBERG JR. M.D

Hospitalist

1102 W TRENTON RD, PICU INTENSIVIST
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

VICENTE BAUTISTA PA

Physician Assistant

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

DR. MICHAEL HEICHEN MD

Emergency Medicine

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6500

VANESSA ALEXANDRA BOYD ACNPC-AG

Nurse Practitioner (Acute Care)

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

RIO VALLEY EMERGENCY PHYSICIAN ASSOCIATES PLLC

Emergency Medicine

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

MCALLEN HOSPITALS L P

Skilled Nursing Facility

1102 W TRENTON RD
EDINBURG, TX 78539

Hidalgo County (956) 388-6000

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 Ashley Cruz's NPI number?

The NPI number for Ashley Cruz is 1730612102. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Ashley Cruz located?

Ashley Cruz practices at 1102 W Trenton Rd, Edinburg, TX 78539. The listed phone number is (956) 388-6000.

What is Ashley Cruz's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ashley Cruz enrolled in Medicare?

Yes. Ashley 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 Ashley Cruz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ashley 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.

Is Ashley Cruz affiliated with any hospitals?

According to CMS data, Ashley Cruz is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Ashley Cruz was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.