IRISELIS CRUZADO (PA) – Physician Assistant, NPI 1063136257

IRISELIS CRUZADO (PA) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9116565 (FL). The NPI Number for IRISELIS CRUZADO (PA) is 1063136257

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
IRISELIS CRUZADO (PA)
NPI
1063136257
Phone
(813) 995-1775
Address
603 S BOULEVARD FL 2
Enumeration Date
30 September 2022
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136368300
Graduation Year
2022 (4 years ago)
PAC ID
0244607679
Group Practice PAC ID
0143309922
Professional Enrollment ID
I20221027002388
Address ID
FL336074629TA1300XBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for IRISELIS CRUZADO (PA)

  • 603 S BOULEVARD FL 2

    TAMPA, FL 336062629

    Phone: (813) 995-1775

    Type: Location

  • 11305 MAYBROOK AVE

    RIVERVIEW, FL 335695951

    Phone: (407) 754-6325

    Type: Mailing

  • 1300 N WEST SHORE BLVD STE 240

    TAMPA, FL 336074629

    Phone: (813) 636-8300

    Fax: (813) 636-8301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 227 Open Payments records for all available years, with a total value of $4,749.

Total Amount is formed as General ($4,749) + Research ($0) + Ownership ($0) = $4,749.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($598).

Total Amount

$4,749

General + Research + Ownership

Payments

227

Total payment records

General Amount

$4,749

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221027002388IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes24053$0
99214Established patient office or other outpatient visit, 30-39 minutes23049$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 33606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143309922View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to IRISELIS CRUZADO (PA)?
The federal identifier for IRISELIS CRUZADO (PA) is NPI 1063136257.
Does this profile mean IRISELIS CRUZADO (PA) is currently active?
Yes — IRISELIS CRUZADO (PA) appears active in the national provider directory.
Does IRISELIS CRUZADO (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for IRISELIS CRUZADO (PA). Clinical services aligned with this taxonomy classification.
Where is IRISELIS CRUZADO (PA)'s primary listing?
We display Tampa, Florida because that is what the record indicates for IRISELIS CRUZADO (PA).
How can I contact IRISELIS CRUZADO (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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