Individual provider

Karen Cruz, RN

Nurse Practitioner Registered Nurse Internal Medicine Physician Medicare enrolled

Karen Cruz, RN is a Nurse Practitioner in Atlanta, GA, registered under NPI 1457971186. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 80 JESSE HILL JR DR SE, Atlanta, GA 30303. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

80 JESSE HILL JR DR SE, Atlanta, GA 30303 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN255693 GA Nurse Practitioner primary
RN255693 GA Registered Nurse
RN255693 GA Internal Medicine Physician

This provider holds licence RN255693 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3375990294
Enrollment ID
I20231114001311

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nurse Practitioner covers

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NUCC Health Care Provider Taxonomy, code 363L00000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363L00000X Nurse Practitioner RN255693 GA primary
163W00000X Registered Nurse RN255693 GA
207R00000X Internal Medicine Physician RN255693 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1457971186 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 22, 2020
Last updatedSep 20, 2023
StatusActive
Sole proprietorYes
CredentialRN
Practice address 80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 457-8306
Mailing address 883 SAMPLES LN NW
Atlanta, GA 30318
This record was updated on Sep 20, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1457971186 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 5 7 9 7 1 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 1 7 9 7 2 1 7

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1457971186?
NPI 1457971186 is the National Provider Identifier assigned to Karen Cruz, RN in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nurse Practitioner cover?
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional…
How do I contact Karen Cruz, RN?
The phone number on file with NPPES is (404) 457-8306, last updated Sep 20, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Karen Cruz, RN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1457971186 a valid number?
Yes. 1457971186 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.