Stephanie Dianne De Santiago

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

226871 Issued in AZ

Practice address

10515 W Santa Fe Dr
Sun City, AZ 85351-3020

Phone

(480) 209-5629

NPI assigned

Aug 27, 2019

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

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Brain and Spine Center PLCGroup PAC ID 4789713843, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score

85.28 of 100Reported as group

Quality

71.03

Promoting interoperability

99

Improvement activities

40

Cost

80.74

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Banner Alzheimer's Institute

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1013966712
  Medicare reassignment Care Compare group NPD
• Brain and Spine Center PLC

  • Psychiatry Physician
  • Chandler, AZ
  • NPI 1780906396
  Medicare reassignment Care Compare group NPD
• Banner Alzheimer's Institute

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1730651738
  NPD
• Brain and Spine Center PLC

  • Neurology Physician
  • Casa Grande, AZ
  • NPI 1356639678
  NPD
• Arizona Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1093254419
  NPD (past)

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

• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1497303028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "623-832-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "480-209-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANTIAGO",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "226871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Davis
• Michelle R Davis, AGACNP
• Eric Day, PA-C
• DDL Dental
• Quinn Esden De la Concepcion, DPT
• Debjoti Sensharma MD PLLC
• Melissa Dehaan
• Vito Del Deo, M.D.
• Francisca Delgado, LPC
• Jessica Marie Denise, FNP-C

• Gerontology Nurse Practitioner in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.