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DANA R CRUSE CFNP, BC-ADM
NPI 1932482874
Nurse Practitioner - Family in Parkersburg, WV

Active since September 27, 2011PECOS EnrolledAccepts Medicare Assignment
1900 GARFIELD AVE STE A, PARKERSBURG, WV 26101(877) 377-8427(304) 699-0396 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Nov 30, 2021 (2 updates tracked since 2021).

About Dana R Cruse Cfnp, Bc-adm NPPES

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

DANA R CRUSE CFNP, BC-ADM (NPI 1932482874) is an individual family provider in Parkersburg, West Virginia, licensed in West Virginia (48061) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1932482874
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANA R CRUSECredential: CFNP, BC-ADM
Location Address1900 GARFIELD AVE STE AParkersburg, WV 26101-2565
Mailing Address1900 Garfield Ave Ste AParkersburg, WV 26101-2565 · (877) 377-8427 · Fax (304) 699-0396
Phone(877) 377-8427
Fax(304) 699-0396
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 27, 2011
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1932482874 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 WV · 48061
1900 GARFIELD AVE STE A, Parkersburg, WV 26101
Open in Google Maps ↗

Other Identifiers 2

Medicaid0099586OH
Medicaid3810026759WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dana R Cruse Cfnp, Bc-adm 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 ID9032348131
PECOS Enrollment IDI20140213000885
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 Reassignment

Medicare enrollment records show Dana Cruse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain State Diabetes PLLC
Same address
Endocrinology, Diabetes & Metabolism
1900 GARFIELD AVE STE A
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1548892532 (877) 377-8427

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
425 services226 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
179 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers232 claims246 services$191.19 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers12 claims12 services$202.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN STATE DIABETES PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1900 GARFIELD AVE STE A
PARKERSBURG, WV 26101
Wood County (877) 377-8427
DR. DAVID NEAL PICKERING D.O.
Internal Medicine
1900 GARFIELD AVE STE A
PARKERSBURG, WV 26101
Wood County (877) 377-8427

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 Dana Cruse's NPI number?

The NPI number for Dana Cruse is 1932482874. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Dana Cruse located?

Dana Cruse practices at 1900 Garfield Ave Ste A, Parkersburg, WV 26101. The listed phone number is (877) 377-8427.

What is Dana Cruse's specialty?

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

Is Dana Cruse enrolled in Medicare?

Yes. Dana Cruse 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 organization bills Medicare for Dana Cruse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Cruse reassigns Medicare benefits to Mountain State Diabetes PLLC (Parkersburg, WV). The 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 Dana Cruse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Cruse accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Dana Cruse 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 Dana Cruse affiliated with any hospitals?

According to CMS data, Dana Cruse is affiliated with Marietta Memorial Hospital, Camden Clark Medical Center and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Dana Cruse was last updated on October 15, 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.