Individual provider Active NPI

Erin Santiago, APRN

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1073814786
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020352 Issued in FL
Practice address
1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone
(321) 735-8964
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11020352 FL Primary

Addresses

Primary practice location

1400 Rockledge Blvd
Rockledge, FL 32955-2846

Mailing address

1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8964

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
I20220630002558 FL Practitioner - Nurse Practitioner 5193105666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8960

2113 Sarno Rd
Melbourne, FL 32935-3001
Phone (321) 676-0558

2330 N Wickham Rd
Suite 12
Melbourne, FL 32935-8184
Phone (321) 633-3278

275 W Cocoa Beach Aswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529
Phone (321) 799-7777

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

7025 N Hwy 1
Cocoa, FL 32927-5092
Phone (321) 633-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 19, 2023 Accepting new patients
Steward Medical Group, Inc. CurrentSince May 19, 2023 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince May 12, 2024 Accepting new patients
Medfast Urgent Care Centers, LLC PastSince Nov 24, 2019 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

1133 Seminole Dr
Rockledge, FL 32955
Phone (321) 637-2975

1400 Rockledge Blvd
Rockledge, FL 32955
Phone (321) 242-7425

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1073814786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ROCKLEDGE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552846",
            "telephone_number": "321-735-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROCKLEDGE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552846",
            "telephone_number": "321-735-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.