Individual provider Active NPI

Eloisa G. Santillan, CRNA

  • Anesthesiologist Assistant
  • Orlando, FL
National Provider Identifier
1407801418
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
ARNP1020242 Issued in FL
Practice address
1717 S. Orange Ave., Suite 100
Nemours Childrens Clinic, Orlando
Orlando, FL 32806-2946
Phone
(407) 650-7715
Fax
(407) 650-7124
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP1020242 FL
Anesthesiologist Assistant 367H00000X ARNP1020242 FL Primary

Addresses

Primary practice location

1717 S. Orange Ave., Suite 100
Nemours Childrens Clinic, Orlando
Orlando, FL 32806-2946

Mailing address

P.O. Box 191
Provider Enrollment Department,
Rockland, DE 19732-0191
Phone (904) 697-4127

Other identifiers 2

IdentifierTypeStateIssuer
303912900MedicaidFL
G2924OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000726 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022140730 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Well AnesthetistsGroup PAC ID 1658816020, 6 clinicians

Practice addresses (Care Compare)

8110 County Rd
Suite 44
Leesburg, FL 34788-3704
Phone (352) 323-8868

921 N Main St
Suite 203
Kissimmee, FL 34744-4570
Phone (407) 361-6374

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
68.91
Promoting interoperability
96
Improvement activities
40
Cost
76.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP1020242FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic Ambulatory Surgery Center, Inc. CurrentSince Jun 28, 2017 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Jul 25, 2016 Accepting new patients
Ophthalmology Anesthesia Services LLC CurrentSince Jun 24, 2019 Accepting new patients
Sleep Well Anesthetists Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2024 Accepting new patients
David W Nussear MD LLC CurrentSince May 6, 2017 Accepting new patients
Lake Surgery & Endoscopy Center LTD Current Accepting new patients
Florida Anesthesia & Pain Management Associates, LLC CurrentSince Jul 16, 2018 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Jul 25, 2016 Accepting new patients
Lorven Anesthesia,LLC CurrentSince Feb 8, 2020 Accepting new patients
Orange County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2022 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

255 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 536-1673

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

921 N Main St
Ste 203
Kissimmee, FL 34744
Phone (407) 361-6374

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868

8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995

3256 S Pine Ave
Ocala, FL 34471
Phone (352) 401-1919

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

105 Bonnie Loch Ct
Orlando, FL 32806
Phone (407) 428-0040

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1407801418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPARTMENT,",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "904-697-4127",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S. ORANGE AVE., SUITE 100",
            "address_2": "NEMOURS CHILDRENS CLINIC, ORLANDO",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062946",
            "telephone_number": "407-650-7715",
            "fax_number": "407-650-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "ELOISA",
        "middle_name": "G.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1020242",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "ARNP1020242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303912900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G2924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.