MICKY SANTOS MSN, CRNP
NPI 1144037177
Nurse Practitioner - Acute Care in Lexington Park, MD
About Micky Santos Msn, Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICKY SANTOS MSN, CRNP (NPI 1144037177) is an individual acute care provider in Lexington Park, Maryland, licensed in Maryland (R242901) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Micky Santos Msn, Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Micky Santos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20036
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Saint Mary's Hospital
Acute Care Hospitals · Leonardtown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Micky Santos's NPI number?
The NPI number for Micky Santos is 1144037177. It was assigned to this individual provider in the NPPES registry on December 12, 2024. The provider is also known as Micky Santos Msn, Crnp.
Where is Micky Santos located?
Micky Santos practices at 22483 Olde Hewitt Rd, Lexington Park, MD 20653. The listed phone number is (808) 631-8231.
What is Micky Santos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Micky Santos enrolled in Medicare?
Yes. Micky Santos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Micky Santos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micky Santos reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The 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 Micky Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Micky Santos affiliated with any hospitals?
According to CMS data, Micky Santos is affiliated with Medstar Saint Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Micky Santos was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Micky Santos, MSN, CRNP · NPI 1144037177
Acute Care physician in Lexington Park, Maryland. Individual provider, active in the CMS NPPES registry since December 12, 2024.
## Identity
- **NPI:** 1144037177 (Entity type: Individual)
- **Enumerated:** December 12, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R242901 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22483 OLDE HEWITT RD, Lexington Park, MD 20653-2068
- **Phone:** (808) 631-8231
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1376887844, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144037177) · Data from the CMS NPPES public registry.