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NATHANIEL MARK KRUSE
NPI 1912791658
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since April 08, 2025PECOS Enrolled
725 S HUALAPAI WAY APT 1080, LAS VEGAS, NV 89145(775) 671-0568 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nathaniel Mark Kruse NPPES

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

NATHANIEL MARK KRUSE (NPI 1912791658) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912791658
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameNATHANIEL MARK KRUSE
Location Address725 S HUALAPAI WAY APT 1080Las Vegas, NV 89145-8837
Mailing Address725 S Hualapai Way Apt 1080Las Vegas, NV 89145-8837 · (775) 671-0568
Phone(775) 671-0568
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedMarch 23, 2025
✔ NPI 1912791658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
725 S HUALAPAI WAY APT 1080, Las Vegas, NV 89145
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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 (PECOS)

Nathaniel Mark Kruse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Nathaniel Kruse's NPI number?

The NPI number for Nathaniel Kruse is 1912791658. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Nathaniel Kruse located?

Nathaniel Kruse practices at 725 S Hualapai Way Apt 1080, Las Vegas, NV 89145. The listed phone number is (775) 671-0568.

What is Nathaniel Kruse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathaniel Kruse enrolled in Medicare?

Yes. Nathaniel Kruse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathaniel Kruse was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.