MICHELLE ASHLEY SANTORO DNP, ANP, FNP-C
NPI 1104302116
Nurse Practitioner - Family in Somerset, NJ

Active since July 12, 2018PECOS Enrolled
57.66/100
CMS Quality Rating
51 VERONICA AVE, SOMERSET, NJ 08873(732) 846-7000(732) 846-7001 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2024, Jan 15, 2019, Jul 12, 2018 (3 updates tracked since 2018).

About Michelle Ashley Santoro Dnp, Anp, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ASHLEY SANTORO DNP, ANP, FNP-C (NPI 1104302116) is an individual family provider in Somerset, New Jersey, licensed in New Jersey (26NJ00832400) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1104302116
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE ASHLEY SANTOROCredential: DNP, ANP, FNP-C
Location Address51 VERONICA AVESomerset, NJ 08873-3448
Mailing Address51 Veronica AveSomerset, NJ 08873-3448 · (732) 846-7000 · Fax (732) 846-7001
Fax(732) 846-7001
Sole ProprietorNo
Enumeration DateJuly 12, 2018
Last NPPES UpdateAugust 25, 20243 updates tracked since enumeration
NPPES CertifiedAugust 25, 2024
✔ NPI 1104302116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00832400
51 VERONICA AVE, Somerset, NJ 08873

Secondary Practice Location 1

Location 117875 Von Karman Ave Ste 150Irvine, CA 92614-6212 · Phone (888) 604-0014

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Ashley Santoro Dnp, Anp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Michelle Santoro reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
51 VERONICA AVE
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
295 LAFAYETTE ST FL 7
New York, NY 10012
  • Reassigned Medicare billing, New Jersey enrollment
Internal Medicine
295 LAFAYETTE ST FL 7
New York, NY 10012
  • Reassigned Medicare billing, New Jersey enrollment
Internal Medicine
295 LAFAYETTE ST FL 7
New York, NY 10012
  • Reassigned Medicare billing, New Jersey enrollment
Internal Medicine
295 LAFAYETTE ST FL 7
New York, NY 10012
  • Reassigned Medicare billing, New Jersey enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
140 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.36
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
51 VERONICA AVE
SOMERSET, NJ 08873
Internal Medicine (Interventional Cardiology)
51 VERONICA AVE
SOMERSET, NJ 08873
Psychiatry & Neurology (Neurology)
51 VERONICA AVE
SOMERSET, NJ 08873
Physical Therapist
51 VERONICA AVE
SOMERSET, NJ 08873
Dietitian, Registered
51 VERONICA AVE
SOMERSET, NJ 08873
Physician Assistant (Medical)
51 VERONICA AVE
SOMERSET, NJ 08873
Psychiatry & Neurology (Neurology)
51 VERONICA AVE
SOMERSET, NJ 08873
Podiatrist
51 VERONICA AVE
SOMERSET, NJ 08873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Santoro's NPI number?

The NPI number for Michelle Santoro is 1104302116. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Michelle Santoro located?

Michelle Santoro practices at 51 Veronica Ave, Somerset, NJ 08873. The listed phone number is (732) 846-7000.

What is Michelle Santoro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Santoro enrolled in Medicare?

Yes. Michelle Santoro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Santoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Santoro reassigns Medicare benefits to 5 organizations: Heart & Vascular Center Of New Brunswick LLC (Somerset, NJ), Cadence Health Ca PC (New York, NY), Cadence Health Fl, PLLC (New York, NY), Cadence Health Nj LLC (New York, NY) and Ny Remote Medical Monitoring PLLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Santoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Santoro was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.