CHEUNITA R CRUZ – Family Nurse Practitioner, NPI 1760467641

CHEUNITA R CRUZ is a healthcare provider. based in Warner robins, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. R126162 (GA). The NPI Number for CHEUNITA R CRUZ is 1760467641

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CHEUNITA R CRUZ
NPI
1760467641
Phone
(478) 322-0042
Address
118 NORTHEAST DR
Enumeration Date
13 December 2005
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6786956960
Graduation Year
2013 (13 years ago)
PAC ID
7517931918
Group Practice PAC ID
7517126279
Professional Enrollment ID
I20040823000350
Address ID
GA312042036MA2410XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for CHEUNITA R CRUZ

  • 118, Northeast Drive, Danes Meadow, Warner Robins, Houston County, Georgia, 31093, United States

    WARNER ROBINS, GA 310937303

    Phone: (478) 322-0042

    Type: Mailing

  • Page Road, Robins Air Force Base, Houston County, Georgia, 31098, United States

    OCCUPATIONAL MEDICINE SQUADRON

    ROBINS AIR FORCE BASE, GA 300987627

    Phone: (478) 926-0732

    Type: Location

  • 655 7TH ST

    ROBINS AFB, GA 310982227

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-23

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
I20040823000350INurse PractitionerGATBD

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 31093)

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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: 7517126279View full group profile
NameSpecialtyState
Physician AssistantNC
Physician AssistantGA
Nurse PractitionerFL
Emergency Medicine, Family PracticeGA
-GA
Family PracticeGA
Physician AssistantGA
Family PracticeNJ
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHEUNITA R CRUZ?
CHEUNITA R CRUZ — NPI 1760467641 — is the standard way to identify this listing.
Does CMS list CHEUNITA R CRUZ as active?
Yes — CHEUNITA R CRUZ is active in the NPI listing used on this page.
What healthcare role does CHEUNITA R CRUZ hold?
Scheduling teams often label CHEUNITA R CRUZ under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CHEUNITA R CRUZ?
CHEUNITA R CRUZ's geographic hint is Warner Robins, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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