Claire Cross, PMHNP
NPI 1962091066 · Psychiatric/Mental Health Nurse Practitioner · Pineville, LA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claire Cross, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Pineville, LA (NPI 1962091066).
Provider details
- NPI number
- 1962091066
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 218230 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
212 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Follow-Up Inpatient Consultation, Complex, Physicians Typically Spend 35 Minutes Communicating With the Patient Via TelehealthG0408 | 102 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 36 | $62 |
| Follow-Up Inpatient Consultation, Intermediate, Physicians Typically Spend 25 Minutes Communicating With the Patient Via TelehealthG0407 | 34 | $57 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 14 | $137 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 14 | $64 |
| Telehealth Consultation, Emergency Department Or Initial Inpatient, Typically 70 Minutes Or More Communicating With the Patient Via Telehealth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 21 | 15 |
| Fluoxetine Hcl | 14 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$272 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Claire Cross's NPI number?
- Claire Cross's National Provider Identifier (NPI) is 1962091066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claire Cross's specialty?
- Claire Cross is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Claire Cross located?
- Claire Cross's practice location on file with NPPES is 151 Fortune Loop, Pineville, LA 71360-9759.
- What is Claire Cross's phone number?
- The practice phone number listed in the NPPES registry for Claire Cross is (185) 281-9173.
- Does Claire Cross accept Medicare?
- Claire Cross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claire Cross's NPI active?
- Yes — Claire Cross's NPI (1962091066) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.