NPIMap

Organization Active NPI

Acute Care Pediatrics,PA

  • Rural Health Clinic/Center
  • Palatka, FL
National Provider Identifier
1003866732
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ACUTE CARE PEDIATRICS,PA
Practice address
1301 Reid St
Palatka, FL 32177-3237
Phone
(386) 328-5437
Fax
(386) 447-7348
NPI assigned
May 11, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Samuel SantelicesNPI 1669476552
Title
President
Phone
(352) 281-2993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Pediatrics Physician 208000000X ME075674 FL

Addresses

Primary practice location

1301 Reid St
Palatka, FL 32177-3237

Mailing address

1859 SW Newland Way
Lake City, FL 32025-6966
Phone (386) 758-0003

Other identifiers 2

IdentifierTypeStateIssuer
0040XOtherFLBCBS OF FLORIDA
660218500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040712000362 FL Part A Provider - Rural Health Clinic 8426036930 Practice locations: Palatka, FL
O20050920001219 FL Part B Supplier - Clinic/Group Practice 8426036930 Receives reassigned benefits from 1 practitioner
Practice locations: Palatka, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003866732. Details of each certification follow.

Rural health clinic certification: CCN 108985

Legal name
ACUTE CARE PEDIATRICS,PA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2005
Last certification
Jan 28, 2025
Ownership / control type
1A
Organization structure
CorporationProprietary
Incorporated
Jun 11, 2001 in FL
Enrollment address
1301 Reid St
Palatka, FL 32177-3237

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0992627Acute Care Pediatrics PA1301 Reid St, Palatka, FL 32177Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela G Santelices Individual Operational/Managerial ControlOperational Director May 1, 2024
Samuel Santelices Individual 5% Or Greater Indirect Ownership InterestCeo May 1, 2024 100%
Operational/Managerial ControlCeo May 1, 2024
North Florida Pediatrics, PA Organization, Lake City, FL Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2024

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1003866732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 SW NEWLAND WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256966",
            "telephone_number": "386-758-0003",
            "fax_number": "386-755-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REID ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773237",
            "telephone_number": "386-328-5437",
            "fax_number": "386-447-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE PEDIATRICS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SANTELICES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-281-2993"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME075674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "0040X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660218500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.