NICOLE RENE SANTILLI
NPI 1205561792
Nurse Anesthetist, Certified Registered in Detroit, MI

Q: What is Nicole Santilli's NPI number?

The NPI number for Nicole Santilli is 1205561792. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Nicole Santilli's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Santilli was last updated on April 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.

Active since July 19, 2022

86.01/100

CMS Quality Rating

259 MACK AVE, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nicole Rene Santilli NPPES

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

NICOLE RENE SANTILLI (NPI 1205561792) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704324043) and active in the NPI registry since July 2022. She is affiliated with Beaumont Hospital - Dearborn and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205561792

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE RENE SANTILLI

Location Address259 MACK AVEDetroit, MI 48201-2427

Mailing Address259 Mack AveDetroit, MI 48201-2427

Phone(313) 577-1716

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 19, 2022

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1205561792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704324043

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704324043 (MI)

259 MACK AVE, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Rene Santilli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032594494

PECOS Enrollment IDI20220921001447

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

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.

86.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.29

Improvement Activities

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.

ANNABEL SHAMMAMI

Physician Assistant