Individual provider Active NPI

Ashley Nicole Santillo, NP

  • Adult Health Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1912396177
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309179 Issued in NY
Practice address
56 N . Main St.
Pittsford, NY 14534
Phone
(585) 520-2530
Fax
(585) 301-4003
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 309179 NY Primary
Critical Care Medicine Registered Nurse 163WC0200X 664269 NY

Addresses

Primary practice location

56 N . Main St.
Pittsford, NY 14534

Mailing address

355 Hammocks Dr
Fairport, NY 14450-7006
Phone (585) 520-2530

Other names 1

  • Ms. Ashley Nicole Santillo Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240819003119 NY Practitioner - Nurse Practitioner 0941748198 Reassigns benefits to 2 organizations

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
BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians

Practice addresses (Care Compare)

355 Hammocks Dr
Fairport, NY 14450-7006
Phone (585) 520-2530

3808 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 972-2424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
664269NYMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC CurrentSince Dec 29, 2025 Accepting new patients
Ashley Santillo Nurse Practitioner in Adult Health PLLC Adult Health CurrentSince Jul 3, 2024 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients

Locations

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

2 Suffern Ln
Garnerville, NY 10923
Phone (845) 218-0809

Organizations & group practices 4

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1912396177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HAMMOCKS DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144507006",
            "telephone_number": "585-520-2530",
            "fax_number": "585-301-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N . MAIN ST.",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-520-2530",
            "fax_number": "585-301-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLO",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2026-09-09",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309179",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "664269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SANTILLO",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "AGPC-NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.