Individual provider Active NPI

Magdalena Santos, NP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1871037556
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22112 Issued in TN
Practice address
1700 Broad St Ste 140
Chattanooga, TN 37408-1831
Phone
(423) 493-5240
Fax
(423) 593-5241
NPI assigned
Dec 14, 2016
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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 22112 TN Primary

Addresses

Primary practice location

1700 Broad St Ste 140
Chattanooga, TN 37408-1831

Mailing address

1700 Broad St Ste 140
Chattanooga, TN 37408-1831
Phone (423) 493-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170221000403 TN Practitioner - Nurse Practitioner 1254615156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434

979 E 3Rd St
Chattanooga, TN 37403-2136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22112TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Family CurrentSince Sep 1, 2020 Accepting new patients
Erlanger Health CurrentSince Nov 11, 2024 Accepting new patients
Erlanger Health CurrentSince Nov 11, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Galen Medical Group, PC Family PastSince Nov 1, 2022 Accepting new patients

Locations

2205 McCallie Ave
Ste 310
Chattanooga, TN 37404
Phone (423) 493-1700

979 E 3rd St
Ste A550
Chattanooga, TN 37403
Phone (423) 266-4764

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1871037556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BROAD ST STE 140",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081831",
            "telephone_number": "423-493-5240",
            "fax_number": "423-593-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BROAD ST STE 140",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081831",
            "telephone_number": "423-493-5240",
            "fax_number": "423-593-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MAGDALENA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.