Individual provider Active NPI

Sheena M Santoro, CRNP

  • Nurse Practitioner
  • Butler, PA
National Provider Identifier
1407317639
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020061 Issued in PA
Practice address
102 Technology Dr Ste 250
Butler, PA 16001-1784
Phone
(833) 917-0873
Fax
(724) 482-0185
NPI assigned
Mar 29, 2019
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020061 PA Primary

Addresses

Primary practice location

102 Technology Dr Ste 250
Butler, PA 16001-1784

Mailing address

102 Technology Dr Ste 250
Butler, PA 16001-1784
Phone (833) 917-0873

Other practice location 1

260 S Jefferson St
Kittanning, PA 16201-2422
Phone (724) 543-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190612000351 PA Practitioner - Nurse Practitioner 9436482106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

102 Technology Dr
Suite 250
Butler, PA 16001-1784
Phone (833) 917-0873

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020061PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jul 3, 2023 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Jul 3, 2023 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

102 Technology Dr
Ste 250
Butler, PA 16001
Phone (833) 917-0873

160 Medical Center Rd
Ste A
Chicora, PA 16025
Phone (724) 445-9934

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1407317639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR STE 250",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011784",
            "telephone_number": "833-917-0873",
            "fax_number": "724-482-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR STE 250",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011784",
            "telephone_number": "833-917-0873",
            "fax_number": "724-482-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162012422",
            "country_code": "US",
            "telephone_number": "724-543-5919",
            "fax_number": "724-543-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "SHEENA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.