Individual provider Active NPI

Michelle Santomassino, NP

  • Family Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1871668517
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9381403 Issued in FL
Practice address
15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218
Phone
(917) 254-1294
Fax
(561) 293-8260
NPI assigned
Nov 21, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F3334691 NY
Family Nurse Practitioner 363LF0000X ARNP9381403 FL Primary

Addresses

Primary practice location

15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218

Mailing address

15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218
Phone (917) 254-1294

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9381403OtherFLARNP FLORIDA LICENSE
F3334691OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20141222000017 FL Practitioner - Nurse Practitioner 3072836147 Reassigns benefits to 4 organizations
I20240725001747 NY Practitioner - Nurse Practitioner 3072836147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3334691NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Feb 17, 2025 Accepting new patients
Medical Transitional Care Services, Inc CurrentSince Nov 5, 2016 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Feb 17, 2025 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Comrehensive Health & Wellness at Home Inc Family CurrentSince Aug 23, 2023 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Apr 1, 2026 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince May 18, 2024 Accepting new patients
Portable Medical Diagnostics Inc Past Accepting new patients
Portable Medical Diagnostics, Inc Past Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

15673 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 877-0633

15673 Southern Blvd
Ste 107324
Loxahatchee, FL 33470

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1871668517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15673 SOUTHERN BLVD # 107-324",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709218",
            "telephone_number": "917-254-1294",
            "fax_number": "561-293-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15673 SOUTHERN BLVD # 107-324",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709218",
            "telephone_number": "917-254-1294",
            "fax_number": "561-293-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOMASSINO",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3334691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9381403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP FLORIDA LICENSE",
            "identifier": "ARNP9381403",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F3334691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.