Amy Larae Cruz, FNP in Salt Lake City, UT - Medicare Nurse Practitioner

Amy Larae Cruz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 3838 S 700 E Ste 100, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 269-0231.

Amy Larae Cruz is licensed to practice in Utah (license number 3409934405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871751297.

Contact Information

	Amy Larae Cruz, FNP
	3838 S 700 E Ste 100, Salt Lake City, UT 84106
	(801) 269-0231
	(801) 269-0304

Map and Direction

Provider's Profile

Full Name	Amy Larae Cruz
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	3838 S 700 E Ste 100, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Larae Cruz graduated from nursing school in 2008

NPI Data:

NPI Number: 1871751297
Provider Enumeration Date: 06/02/2008
Last Update Date: 10/03/2018

Medicare PECOS Information:

PECOS PAC ID: 7810043817
Enrollment ID: I20200601002725

Medical Identifiers

Medical identifiers for Amy Larae Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871751297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3409938900 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	3409934405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Larae Cruz allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Larae Cruz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Larae Cruz, FNP 1121 E 3900 S, Ste C230, Salt Lake City, UT 84124-1297 Ph: (801) 682-1032	Amy Larae Cruz, FNP 3838 S 700 E Ste 100, Salt Lake City, UT 84106 Ph: (801) 269-0231

Reviews and Comments

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Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Amy Larae Cruz, FNP - Medicare Nurse Practitioner in Salt Lake City, UT