Individual provider Active NPI

Clint James Santiago, CRNA

  • Certified Registered Nurse Anesthetist
  • Leesburg, FL
National Provider Identifier
1255970992
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013006 Issued in FL
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

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110504400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604001910 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234538695 Reassigns benefits to 12 organizations

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
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
St Lucie Anesthesia Associates LLCGroup PAC ID 4284792706, 79 clinicians
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

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 Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 29, 2023 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 26, 2024 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2024 Accepting new patients
Rest Assured Anesthesia CurrentSince Apr 8, 2024 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Apr 23, 2022 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Jul 1, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 23, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 5, 2025 Accepting new patients
Central Brevard Anesthesiologists, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2021 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 29, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 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 CurrentSince Feb 7, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 5, 2025 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

  • Direct secure messaging: csantiago644916@direct.shands.ufl.edu
  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.