Active NPI
Clint James Santiago, CRNA
- Certified Registered Nurse Anesthetist
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11013006
- Practice address
- 600 E Dixie Ave
Leesburg, FL 34748-5925 - Phone
- (352) 323-5762
- NPI assigned
- Dec 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | APRN11013006 | FL | Primary |
Addresses
Primary practice location
600 E Dixie Ave
Leesburg, FL 34748-5925
Mailing address
1329 SW 16TH St RM 2232
Gainesville, FL 32608-1128
Phone (352) 559-5051
Other practice location 1
700 W Oak St
Kissimmee, FL 34741-4924
Phone (407) 846-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110504400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000
2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 614-0500
201 W Guava St
Lady Lake, FL 32159-1701
Phone (954) 939-5000
2450 N Orange Blossom Trail
Kissimmee, FL 34744-2316
Phone (407) 846-4343
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-3505
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rest Assured Anesthesia | Current | Accepting new patients | |
| Space Coast Anesthesia Services LLC | Current | Accepting new patients | |
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations (25 of 32)
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004
4035 Southpoint Blvd
Jacksonville, FL 32216
Phone (833) 894-4420
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800
220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799
595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- csantiago644916@direct.shands.ufl.edu
- csantiago106833@orlandohealth.medalliesdirect.net
Organizations & group practices 22
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Anesthesiology Physician
- Merritt Island, FL
- NPI 1942441753
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1073408514
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1255970992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 SW 16TH ST RM 2232",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081128",
"telephone_number": "352-559-5051",
"fax_number": "352-265-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485925",
"telephone_number": "352-323-5762"
}
],
"practiceLocations": [
{
"address_1": "700 W Oak St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414924",
"country_code": "US",
"telephone_number": "407-846-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "CLINT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-28",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11013006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110504400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.