ERICA E DE SANTOS A.P.R.N
NPI 1396355350
Nurse Practitioner - Primary Care in Hollis, OK

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Erica De Santos was last updated on December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment

400 E SYCAMORE ST, HOLLIS, OK 73550(580) 688-2800(580) 688-2193 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Aug 5, 2020 (2 updates tracked since 2020).

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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

NPI1396355350

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameERICA E DE SANTOSCredential: A.P.R.N

Location Address400 E SYCAMORE STHollis, OK 73550-1436

Mailing Address400 E Sycamore StHollis, OK 73550-1436 · (580) 688-2800 · Fax (580) 688-2193

Phone(580) 688-2800

Fax(580) 688-2193

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 5, 2020

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1396355350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in OK · 103519

400 E SYCAMORE ST, Hollis, OK 73550

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Other Names 1

Professional Name (2)Erica E De Santos Kanhai

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9931526100

PECOS Enrollment IDI20200902001560

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.

Hospital Affiliations CMS Care Compare 2

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, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Harmon Memorial Hospital

Critical Access Hospitals · Hollis, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number371338

Location400 East Chestnut StreetHollis, OK 73550 · Harmon County

Emergency services

Physician 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.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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.

DR. WILLIAM J KOK MD

Family Medicine