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VANESA G CRUZ PA-C
NPI 1942967872
Physician Assistant in Brentwood, NY

Active since November 28, 2021PECOS EnrolledAccepts Medicare Assignment
125 BROADWAY, BRENTWOOD, NY 11717(631) 457-0576 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 1, 2023, Nov 28, 2021 (2 updates tracked since 2021).

About Vanesa G Cruz Pa-c NPPES

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

VANESA G CRUZ PA-C (NPI 1942967872) is an individual physician assistant in Brentwood, New York, licensed in New York (030573) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942967872
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVANESA G CRUZCredential: PA-C
Location Address125 BROADWAYBrentwood, NY 11717-4919
Mailing Address125 BroadwayBrentwood, NY 11717-4919 · (631) 457-0576
Phone(631) 457-0576
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 28, 2021
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1942967872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 030573
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
125 BROADWAY, Brentwood, NY 11717
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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 and accepts Medicare assignment

Vanesa G Cruz Pa-c 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 ID7113469073
PECOS Enrollment IDI20240606001778
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 Vanesa Cruz's NPI number?

The NPI number for Vanesa Cruz is 1942967872. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Where is Vanesa Cruz located?

Vanesa Cruz practices at 125 Broadway, Brentwood, NY 11717. The listed phone number is (631) 457-0576.

What is Vanesa Cruz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vanesa Cruz enrolled in Medicare?

Yes. Vanesa 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.

Is Vanesa Cruz affiliated with any hospitals?

According to CMS data, Vanesa Cruz is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Vanesa Cruz was last updated on November 1, 2023. 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.