ANGELIQUE J. CROSS (NP-C) – Family Nurse Practitioner, NPI 1073714705

ANGELIQUE J. CROSS (NP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 209006597 (IL). The NPI Number for ANGELIQUE J. CROSS (NP-C) is 1073714705

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ANGELIQUE J. CROSS (NP-C)
NPI
1073714705
Phone
(702) 369-0088
Address
4275 Burnham Ave
Enumeration Date
30 May 2007
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022934111563
Graduation Year
2007 (19 years ago)
PAC ID
1951401348
Group Practice PAC ID
7618953795
Professional Enrollment ID
I20141124001761
Address ID
NV890052245BO999XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for ANGELIQUE J. CROSS (NP-C)

  • 4275 Burnham Ave

    SUITE 255

    Las Vegas, NV 891195488

    Phone: (702) 369-0088

    Fax: (702) 893-4913

    Type: Location

  • Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States

    LAS VEGAS, NV 891938978

    Phone: (702) 216-3346

    Fax: (702) 671-6883

    Type: Mailing

  • Burnham Avenue, Five Points, Las Vegas, Clark County, Nevada, 89169-1814, United States

    SUITE 255

    LAS VEGAS, NV 891195488

    Phone: (702) 369-0088

    Fax: (702) 893-4913

    Type: Location

  • 901 ADAMS BLVD

    BOULDER CITY, NV 890052213

    Phone: (702) 698-8342

    Fax: (702) 293-0430

    Type: Mailing

  • 999 ADAMS BLVD STE 104-105

    BOULDER CITY, NV 890052244

    Phone: (702) 698-8342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,017.

Total Amount is formed as General ($1,017) + Research ($0) + Ownership ($0) = $1,017.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($390).

Total Amount

$1,017

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-11-24

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
I20141124001761INurse PractitionerNVTBD

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 89119)

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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: 7618953795View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANGELIQUE J. CROSS (NP-C)?
ANGELIQUE J. CROSS (NP-C) — NPI 1073714705 — is the standard way to identify this listing.
Can I rely on ANGELIQUE J. CROSS (NP-C) being an active provider?
As of the registry snapshot, ANGELIQUE J. CROSS (NP-C) is marked active.
What is ANGELIQUE J. CROSS (NP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for ANGELIQUE J. CROSS (NP-C) here. Clinical services aligned with this taxonomy classification.
Does ANGELIQUE J. CROSS (NP-C) list a practice location?
Patients near Las Vegas, Nevada may find ANGELIQUE J. CROSS (NP-C) in results; validate coverage separately.
Is the information about ANGELIQUE J. CROSS (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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