NICHOLE HANSEN-CRUZ
NPI 1841677416
Family Medicine in San Diego, CA

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(858) 573-6401 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Jun 12, 2018 (2 updates tracked since 2018).

About Nichole Hansen-cruz NPPES

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

NICHOLE HANSEN-CRUZ (NPI 1841677416) is an individual family medicine provider in San Diego, California, licensed in California (A144722) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2015).

NPPES Registry Identity

NPI1841677416
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLE HANSEN-CRUZ
Location Address4647 ZION AVESan Diego, CA 92120
Mailing Address4647 Zion AveSan Diego, CA 92120-2507
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateMay 1, 2015
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1841677416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A144722
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.
4647 ZION AVE, San Diego, CA 92120

Other Names 1

Former Name (1)Nichole Hansen

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

Nichole Hansen-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 ID5294086542
PECOS Enrollment IDI20180925003625
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 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

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 Nichole Hansen-cruz's NPI number?

The NPI number for Nichole Hansen-cruz is 1841677416. It was assigned to this individual provider in the NPPES registry on May 1, 2015. The provider is also known as Nichole Hansen.

Where is Nichole Hansen-cruz located?

Nichole Hansen-cruz practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (858) 573-6401.

What is Nichole Hansen-cruz's specialty?

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

Is Nichole Hansen-cruz enrolled in Medicare?

Yes. Nichole Hansen-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.

When was this NPI record last updated?

The NPPES record for Nichole Hansen-cruz was last updated on December 22, 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.