ERICA E DE SANTOS A.P.R.N
NPI 1396355350
Nurse Practitioner - Primary Care in Hollis, OK
About Erica E De Santos A.p.r.n NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA E DE SANTOS A.P.R.N (NPI 1396355350) is an individual primary care provider in Hollis, Oklahoma, licensed in Oklahoma (103519) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Erica E De Santos A.p.r.n 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 Reassignments
2Medicare enrollment records show Erica De Santos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altus, OK 73521
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Altus Premier Health Clinic PLLC
- 6 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Oklahoma enrollment
- 238 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Memorial Hospital Authority
Acute Care Hospitals · Altus, OKHarmon Memorial Hospital
Critical Access Hospitals · Hollis, OKChildress Regional Medical Center
Acute Care Hospitals · Childress, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLIS, OK 73550
HOLLIS, OK 73550
HOLLIS, OK 73550
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 Erica De Santos's NPI number?
The NPI number for Erica De Santos is 1396355350. It was assigned to this individual provider in the NPPES registry on August 5, 2020. The provider is also known as Erica E De Santos Kanhai.
Where is Erica De Santos located?
Erica De Santos practices at 400 E Sycamore St, Hollis, OK 73550. The listed phone number is (580) 688-2800.
What is Erica De Santos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Erica De Santos enrolled in Medicare?
Yes. Erica De 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 organizations bill Medicare for Erica De Santos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica De Santos reassigns Medicare benefits to 2 organizations: Altus Premier Health Clinic P.L.L.C. (Altus, OK) and Signify Health, LLC (Dallas, TX). 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 Erica De Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica De Santos accept?
Health plans from UnitedHealthcare list Erica De Santos 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.
Is Erica De Santos affiliated with any hospitals?
According to CMS data, Erica De Santos is affiliated with Jackson County Memorial Hospital Authority, Harmon Memorial Hospital and Childress Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Erica De Santos was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Erica E De Santos, A.P.R.N · NPI 1396355350
Primary Care physician in Hollis, Oklahoma. Individual provider, active in the CMS NPPES registry since August 5, 2020.
## Identity
- **NPI:** 1396355350 (Entity type: Individual)
- **Enumerated:** August 5, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 103519 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E SYCAMORE ST, Hollis, OK 73550-1436
- **Phone:** (580) 688-2800 · **Fax:** (580) 688-2193
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Altus Premier Health Clinic P.L.L.C. (NPI 1528408523, Altus, OK); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396355350) · Data from the CMS NPPES public registry.