Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie J Cruce

Individual provider Family Nurse Practitioner · NPI 1962044800

Charlie J Cruce is a Nurse Practitioner in Dermott, Arkansas. Qualified in 2019, 7 years ago. Practices with Mainline Health Systems Inc, a 55-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2019

Practice location Address checks out

300 S School St
Dermott, AR 71638-2127
Phone: (870) 538-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 122323 (AR)

Record details

NPI number1962044800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2019
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address342 Highway 425 S, Monticello, AR 71655-4612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mainline Health Systems Inc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dermott