Individual provider Active NPI

Jennifer Elder Santiago, APRN

  • Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1659622744
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9283819 Issued in FL
Practice address
284 S Brevard Ave
Cocoa Beach, FL 32931-2797
Phone
(321) 260-2101
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 ARNP9283819 FL Primary

Addresses

Primary practice location

284 S Brevard Ave
Cocoa Beach, FL 32931-2797

Mailing address

125 E Merritt Island Cswy #107
PMB 324
Merritt Island, FL 32952
Phone (321) 260-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121129000459 FL Practitioner - Nurse Practitioner 8224280003 Reassigns benefits to 1 organization
Practice locations: Cocoa, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Solutions LLCGroup PAC ID 3870037765, 6 clinicians

Practice addresses (Care Compare)

284 S Brevard Ave
Cocoa Beach, FL 32931-2797
Phone (321) 260-2101

Hospital & facility affiliations

  • Tehc LLC Home health agency, Rockledge, FL, CCN 107718
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9283819FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Solutions LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

125 E Merritt Island Cswy
Ste 107
Merritt Island, FL 32952

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1659622744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY #107",
            "address_2": "PMB 324",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32952",
            "telephone_number": "321-260-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 S BREVARD AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312797",
            "telephone_number": "321-260-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JENNIFER",
        "middle_name": "ELDER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9283819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.