Erica E De Santos, A.P.R.N

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

103519 Issued in OK

Practice address

400 E Sycamore St
Hollis, OK 73550-1436

Phone

(580) 688-2800

Fax

(580) 688-2193

NPI assigned

Aug 5, 2020

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica E De Santos Kanhai Professional name

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shortgrass Community Health Center IncGroup PAC ID 9234385535, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
• Harmon Memorial Hospital Hospital, Hollis, OK, CCN 371338

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ericadesantos@schc.secure.relimedsolutions.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Altus Premier Health Clinic P.L.L.C.

  • Preferred Provider Organization
  • Altus, OK
  • NPI 1528408523
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD
• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hollis, OK
  • NPI 1255695201
  Care Compare group NPD
• Altus Surgical&Urology Associates, PLLC

  • Specialist
  • Altus, OK
  • NPI 1962716597
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Altus, OK
  • NPI 1982263752
  NPD (past)

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

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  Care Compare affiliation
• Jackson County Memorial Hospital Authority

  dba Harmon Memorial Hospital

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  Care Compare affiliation

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1396355350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SYCAMORE ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735501436",
            "telephone_number": "580-688-2800",
            "fax_number": "580-688-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SYCAMORE ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735501436",
            "telephone_number": "580-688-2800",
            "fax_number": "580-688-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANTOS",
        "first_name": "ERICA",
        "middle_name": "E",
        "credential": "A.P.R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "103519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DE SANTOS KANHAI",
            "middle_name": "E",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jada Alexandra Bost, LPC
• Sharon Ann Bowen
• Justin Cade Cole, DOCTOR OF PHARMACY
• Beverly Cooper, FNPC
• Cayden James Crume
• William Paul Estes, DDS
• Vickie June Godwin, LMFT
• Harmon County Healthcare Authority (Colonial Manor I)
• Harmon County Healthcare Authority (Harmon County Home Health Care)
• Harmon County Healthcare Authority (Harmon Medical Clinc)

• Primary Care Nurse Practitioner in Hollis, OK
• Providers in Hollis, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.