Individual provider Active NPI

Jose F Santiago

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1083241137
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140722 Issued in TX
Practice address
443 Houston St
Portland, TX 78374-1643
Phone
(361) 977-2059
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP140722 TX Primary

Addresses

Primary practice location

443 Houston St
Portland, TX 78374-1643

Mailing address

443 Houston St
Portland, TX 78374-1643
Phone (361) 977-2059

Other practice location 1

921 Houston St
Portland, TX 78374-2023
Phone (361) 977-2053

Other identifiers 1

IdentifierTypeStateIssuer
08161882OtherTXDIRECT SERVICE TO PATIENT UNDER HHS CUSTODY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 5124966034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250411002925 TX Practitioner - Nurse Practitioner 0941724892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140722TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Wound Care Single Specialty CurrentSince Mar 18, 2025 Accepting new patients
MCJV Medical Partners, LLC PastSince Sep 21, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

14205 N Mo Pac Expy
Ste 570
Austin, TX 78728
Phone (737) 291-7570

Interoperability endpoints

  • Direct secure messaging: jose.santiago@3985.securemail.prognocis.com

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1083241137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741643",
            "telephone_number": "361-977-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741643",
            "telephone_number": "361-977-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Houston St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783742023",
            "country_code": "US",
            "telephone_number": "361-977-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSE F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT SERVICE TO PATIENT UNDER HHS CUSTODY",
            "identifier": "08161882",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5124966034",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dont have electronic Comunication With Patients",
            "address_1": "13625 Fm 2769",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787262602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.