Evelyn Santiago, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338358 Issued in NY

Practice address

24 Old Firehouse Road
Wallkill, NY 12589

Phone

(845) 563-8000

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Family HealthcareGroup PAC ID 4880610393, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archcare at Home Home health agency, Valhalla, NY, CCN 337140

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD
• Direct secure messaging: evelyn.santiago@csfh.eclinicaldirectplus.com

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.

• Cornerstone Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Newburgh, NY
  • NPI 1689669079
  Medicare reassignment Care Compare group NPD
• Cross Valley Health & Medicine, P.C.

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1427271956
  Medicare reassignment NPD
• Cornerstone Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Newburgh, NY
  • NPI 1114757515
  NPD

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

• The Dominican Sisters Family Health Service Inc

  • Home Health Agency
  • Valhalla, NY
  • NPI 1821184839
  Care Compare affiliation

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1700214988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W",
            "address_2": "SUITE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "12518",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD FIREHOUSE ROAD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "12589",
            "telephone_number": "845-563-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "581312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03993533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Romano
• Shayna L Rosado, COTA
• Jeanette Ruiz, CCC-SLP
• Rene Enrique Ruiz
• Evelia Margarita Santiago-Gomez, LCSWR
• Sapphire Adult Health NP, P.C.
• Lori Ann Schneider, PT
• Paul Shumanski, DC
• Lindsey Taylor Smith, COTA
• Vidya Sorrentini-Irizarry, DMD

• Family Nurse Practitioner in Wallkill, NY
• Providers in Wallkill, NY by specialty
• Family Nurse Practitioner in New York

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