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MS. SAMANTHA SANTIAGO
NPI 1215609193
Nurse Practitioner - Acute Care in Brooklyn, NY

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
1418 WILLOUGHBY AVE, BROOKLYN, NY 11237(718) 755-2957 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Samantha Santiago NPPES

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

MS. SAMANTHA SANTIAGO (NPI 1215609193) is an individual acute care provider in Brooklyn, New York, licensed in New York (432118) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215609193
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. SAMANTHA SANTIAGO
Location Address1418 WILLOUGHBY AVEBrooklyn, NY 11237-3005
Mailing Address1418 Willoughby AveBrooklyn, NY 11237-3005 · (718) 755-2957
Phone(718) 755-2957
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1215609193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 432118
1418 WILLOUGHBY AVE, Brooklyn, NY 11237
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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

Ms. Samantha Santiago 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.

PECOS PAC ID7810381076
PECOS Enrollment IDI20220303002255
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 Reassignment

Medicare enrollment records show Samantha Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,038 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11237 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Samantha Santiago's NPI number?

The NPI number for Samantha Santiago is 1215609193. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Samantha Santiago located?

Samantha Santiago practices at 1418 Willoughby Ave, Brooklyn, NY 11237. The listed phone number is (718) 755-2957.

What is Samantha Santiago's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samantha Santiago enrolled in Medicare?

Yes. Samantha Santiago 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 Samantha Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Santiago reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Samantha Santiago'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 Samantha Santiago was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.