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AMADO CRUZ
NPI 1922604263
Nurse Practitioner - Family in Hialeah, FL

Active since December 10, 2020PECOS EnrolledAccepts Medicare Assignment
18638 NW 78TH CT, HIALEAH, FL 33015(786) 366-4761 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2024, Dec 16, 2020, Dec 10, 2020 (3 updates tracked since 2020).

About Amado Cruz NPPES

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

AMADO CRUZ (NPI 1922604263) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11010877) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922604263
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAMADO CRUZ
Location Address18638 NW 78TH CTHialeah, FL 33015-5245
Mailing Address18638 Nw 78th CtHialeah, FL 33015-5245 · (786) 366-4761
Phone(786) 366-4761
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 10, 2020
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1922604263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11010877
18638 NW 78TH CT, Hialeah, FL 33015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Amado 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 ID2466801477
PECOS Enrollment IDI20231214003868
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 Reassignments

2

Medicare enrollment records show Amado Cruz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Post Acute Care Clinicians, LLC
3.0 mi
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 88 clinicians in this Medicare group
NPI 1043760473 (877) 866-7123
Nova Medical Services - Wound Care Division LLC
18 mi
Family Medicine
11420 N KENDALL DR STE 207
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1578145793 (786) 715-9183

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
434 services72 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
288 services17 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
210 services27 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
200 services58 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
176 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
174 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33015 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Amado Cruz's NPI number?

The NPI number for Amado Cruz is 1922604263. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Amado Cruz located?

Amado Cruz practices at 18638 NW 78th Ct, Hialeah, FL 33015. The listed phone number is (786) 366-4761.

What is Amado Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amado Cruz enrolled in Medicare?

Yes. Amado 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.

Which organizations bill Medicare for Amado Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amado Cruz reassigns Medicare benefits to 2 organizations: Florida Post Acute Care Clinicians, LLC (Miramar, FL) and Nova Medical Services - Wound Care Division LLC (Miami, FL). Each 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 Amado Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amado Cruz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida and 1 other insurer list Amado 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.

When was this NPI record last updated?

The NPPES record for Amado Cruz was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.