Individual provider Active NPI

Mary Ann Santos, APRN CNP NEONATAL

  • Neonatal Nurse Practitioner
  • Boston, MA
National Provider Identifier
1588905046
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
CNP2272052 Issued in MA
Practice address
300 Longwood Ave
Boston, MA 02115-5724
Phone
(617) 335-6000
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X APRN00327 RI
Neonatal Nurse Practitioner 363LN0000X CNP2272052 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

101 Dudley St
Mso
Providence, RI 02905-2401

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address masantos@wih.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724000834 MA Practitioner - Nurse Practitioner 0345510459 Reassigns benefits to 2 organizations
I20200309001167 RI Practitioner - Nurse Practitioner 0345510459 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP2272052MAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Feb 1, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2017 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 18, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 18, 2022 Accepting new patients
Affinity Physicians LLC. CurrentSince Feb 1, 2020 Accepting new patients
Children's Hospital Pediatric Associates, Inc CurrentSince Aug 18, 2021 Accepting new patients
Childrens Hospital Boston Past Accepting new patients
Prime Healthcare Services Landmark LLC Past Accepting new patients
Sturdy Memorial Hospital Inc Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

75 Francis St
Boston, MA 02115

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

Interoperability endpoints

  • Direct secure messaging: msantos57115@direct.southcoast.org
  • Direct secure messaging: msantos16666@direct.carene.org
  • Direct secure messaging: masantos@wih.cernerdirect.carene.org
  • Direct secure messaging: msantos34845@direct.bostonchildrens.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1588905046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "address_2": "MSO",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-335-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARY ANN",
        "credential": "APRN CNP NEONATAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "RI",
            "license": "APRN00327",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MA",
            "license": "CNP2272052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masantos@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.