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KATHLEEN SANTIAGO CRNP
NPI 1124471354
Nurse Practitioner - Family in Prattville, AL

Active since July 23, 2016PECOS Enrolled
80.87/100
CMS Quality Rating
645 MCQUEEN SMITH RD N STE 207, PRATTVILLE, AL 36066(334) 351-1000(334) 273-2228 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Kathleen Santiago Crnp NPPES

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

KATHLEEN SANTIAGO CRNP (NPI 1124471354) is an individual family provider in Prattville, Alabama, licensed in Alabama (1-104704) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124471354
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN SANTIAGOCredential: CRNP
Location Address645 MCQUEEN SMITH RD N STE 207Prattville, AL 36066-7263
Mailing Address4145 Carmichael RdMontgomery, AL 36106-2803 · (334) 273-7000
Phone(334) 351-1000
Fax(334) 273-2228
Sole ProprietorYes
Enumeration DateJuly 23, 2016
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1124471354 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
Licenses✔ Licensed in AL · 1-104704✔ Licensed in OK · 122593
645 MCQUEEN SMITH RD N STE 207, Prattville, AL 36066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Santiago Crnp 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

2

Medicare enrollment records show Kathleen Santiago reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
13 mi
Neurology
4225 NARROW LANE ROAD
Montgomery, AL 36111
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1952609505 (334) 281-7299
Rural Urgent Care LLC
123 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 276 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088

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 3

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.

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.
608 services405 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.
69 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Other Providers at the Same Location NPPES

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

DR. ROBERT ALLEN AVERY MD
Internal Medicine (Hematology & Oncology)
645 MCQUEEN SMITH RD N STE 207
PRATTVILLE, AL 36066
Autauga County (334) 351-1000

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 Kathleen Santiago's NPI number?

The NPI number for Kathleen Santiago is 1124471354. It was assigned to this individual provider in the NPPES registry on July 23, 2016.

Where is Kathleen Santiago located?

Kathleen Santiago practices at 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066. The listed phone number is (334) 351-1000.

What is Kathleen Santiago's specialty?

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

Is Kathleen Santiago enrolled in Medicare?

Yes. Kathleen Santiago is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Santiago reassigns Medicare benefits to 2 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL) and Rural Urgent Care LLC (Centre, AL). 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 Kathleen Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Santiago accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Kathleen Santiago as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Santiago was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.