Individual provider Active NPI

Roberto Santamaria, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1003481052
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008974 Issued in FL
Practice address
1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638
Phone
(954) 463-7313
Fax
(954) 527-6003
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008974 FL
Mental Health Counselor 101YM0800X APRN11008974 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11008974 FL Primary

Addresses

Primary practice location

1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 463-7313

Other identifiers 2

IdentifierTypeStateIssuer
127086000MedicaidFL
Q01047389OtherFLMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124002043 FL Practitioner - Nurse Practitioner 5294106563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1101 W Broward Blvd
Fort Lauderdale, FL 33312-1638
Phone (954) 527-6041

1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638
Phone (954) 463-7313

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Jul 14, 2025 Accepting new patients
North Broward Hospital District CurrentSince Jul 14, 2025 Accepting new patients
North Broward Hospital District Current Accepting new patients
Henderson Behavioral Health, Inc. PastSince Feb 19, 2024 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Feb 1, 2024 Accepting new patients
Ep Facility LLC PastSince Jan 1, 2025 Accepting new patients
North Broward Hospital District Past Accepting new patients
Elevate Psychiatry LLC PastSince Jan 1, 2025 Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1101 NW 1st St
Ft Lauderdale, FL 33311
Phone (954) 467-0880

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1101 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 527-6025

1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1003481052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-463-7313",
            "fax_number": "954-527-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121638",
            "telephone_number": "954-463-7313",
            "fax_number": "954-527-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "ROBERTO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008974",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "APRN11008974",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127086000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "Q01047389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.