MARIA E DE LA CRUZ (APRN) – Family Nurse Practitioner, NPI 1417428095

MARIA E DE LA CRUZ (APRN) is a healthcare provider. based in Kissimmee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11000482 (FL). The NPI Number for MARIA E DE LA CRUZ (APRN) is 1417428095

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARIA E DE LA CRUZ (APRN)
NPI
1417428095
Phone
(407) 581-8640
Address
1114 CYPRESS GLEN CIR
Enumeration Date
7 December 2018
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078460023
Graduation Year
2018 (8 years ago)
PAC ID
0042629081
Group Practice PAC ID
2062313703
Professional Enrollment ID
I20210504002057
Address ID
FL347412344KI206XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARIA E DE LA CRUZ (APRN)

  • 1114 CYPRESS GLEN CIR

    KISSIMMEE, FL 347417559

    Phone: (407) 581-8640

    Fax: (407) 581-8659

    Type: Location

  • 5979 Vineland Rd

    Orlando, FL 328197800

    Phone: (407) 270-7702

    Type: Location

  • Conroy Road, Orlando, Orange County, Florida, 32839, United States

    ORLANDO, FL 328353570

    Phone: (407) 581-8640

    Fax: (407) 581-8659

    Type: Mailing

  • 121 S ORANGE AVE

    STE 940

    ORLANDO, FL 328013234

    Phone: (321) 332-6947

    Fax: (407) 286-4515

    Type: Mailing

  • PO BOX 3340

    WINDERMERE, FL 347863321

    Phone: (407) 758-6370

    Type: Mailing

  • 200 PARK PLACE BLVD

    KISSIMMEE, FL 347412344

    Phone: (407) 846-0023

    Fax: (407) 483-0378

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($76).

Total Amount

$444

General + Research + Ownership

Payments

22

Total payment records

General Amount

$444

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: 2021-05-04

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
I20210504002057INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34741)

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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: 2062313703View full group profile
NameSpecialtyState
-TN
Nurse PractitionerFL
-FL
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical PsychologistFL
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical PsychologistFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference MARIA E DE LA CRUZ (APRN)?
For MARIA E DE LA CRUZ (APRN), use NPI 1417428095 as the unique 10-digit identifier.
Would MARIA E DE LA CRUZ (APRN) appear as active to a payer?
You can treat MARIA E DE LA CRUZ (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARIA E DE LA CRUZ (APRN)?
MARIA E DE LA CRUZ (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARIA E DE LA CRUZ (APRN)?
Travel planning: use Kissimmee, Florida as the reference point for MARIA E DE LA CRUZ (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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