Individual provider Active NPI

Luis Emilio Santiago, ARNP, FNP-C

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1699423012
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018683 Issued in FL
Practice address
200 E Highland Ave
Clermont, FL 34711-2582
Phone
(352) 432-8989
Fax
(352) 227-3532
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018683 FL Primary

Addresses

Primary practice location

200 E Highland Ave
Clermont, FL 34711-2582

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20220531000626 FL Practitioner - Nurse Practitioner 6709264989 Reassigns benefits to 1 organization
I20240215000687 GA Practitioner - Nurse Practitioner 6709264989

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

135 E 1St St
Palm Medical Center Lakeland LLC
Lakeland, FL 33805-4609
Phone (863) 686-2728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018683FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince May 19, 2025 Accepting new patients
Transtreme, LLC Family CurrentSince May 17, 2023 Accepting new patients
Psynergy Health Med PLLC CurrentSince Dec 4, 2024 Accepting new patients
Usrc Southeast Sarasota LLC Past Accepting new patients

Locations

9550 Bonita Beach Rd SE
Ste 108
Bonita Springs, FL 34135
Phone (239) 444-1919

200 E Highland Ave
Ste 1
Clermont, FL 34711
Phone (352) 394-3611

200 E Highland Ave
Clermont, FL 34711
Phone (352) 242-1430

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

5700 Honore Ave
Sarasota, FL 34233
Phone (813) 353-8100

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: luis.santiago@sl.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1699423012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HIGHLAND AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112582",
            "telephone_number": "352-432-8989",
            "fax_number": "352-227-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "LUIS",
        "middle_name": "EMILIO",
        "name_prefix": "Mr.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.