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SHEENA M SANTORO CRNP
NPI 1407317639
Nurse Practitioner in Butler, PA

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
102 TECHNOLOGY DR STE 250, BUTLER, PA 16001(833) 917-0873(724) 482-0185 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sheena M Santoro Crnp NPPES

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

SHEENA M SANTORO CRNP (NPI 1407317639) is an individual nurse practitioner in Butler, Pennsylvania, licensed in Pennsylvania (SP020061) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and maintains a secondary practice location in Kittanning.

NPPES Registry Identity

NPI1407317639
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEENA M SANTOROCredential: CRNP
Location Address102 TECHNOLOGY DR STE 250Butler, PA 16001-1784
Mailing Address102 Technology Dr Ste 250Butler, PA 16001-1784 · (833) 917-0873 · Fax (724) 482-0185
Phone(833) 917-0873
Fax(724) 482-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2019
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1407317639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP020061
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
102 TECHNOLOGY DR STE 250, Butler, PA 16001
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Secondary Practice Location 1

Location 1260 S Jefferson StKittanning, PA 16201-2422 · Phone (724) 543-5919 · Fax (724) 543-3544

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sheena M Santoro 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.

PECOS PAC ID9436482106
PECOS Enrollment IDI20190612000351
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$19.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN HERTEL DO
Internal Medicine
102 TECHNOLOGY DR STE 250
BUTLER, PA 16001
Butler County (833) 917-0873
ALLISON BRUNO PA-C
Physician Assistant (Medical)
102 TECHNOLOGY DR STE 250
BUTLER, PA 16001
Butler County (833) 917-0873
MEGAN MARIE KOSTEK
Physician Assistant
102 TECHNOLOGY DR STE 250
BUTLER, PA 16001
Butler County (833) 917-0873

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 Sheena Santoro's NPI number?

The NPI number for Sheena Santoro is 1407317639. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Sheena Santoro located?

Sheena Santoro practices at 102 Technology Dr Ste 250, Butler, PA 16001. The listed phone number is (833) 917-0873.

What is Sheena Santoro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sheena Santoro enrolled in Medicare?

Yes. Sheena Santoro 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.

What insurance does Sheena Santoro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sheena Santoro 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 Sheena Santoro affiliated with any hospitals?

According to CMS data, Sheena Santoro is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sheena Santoro was last updated on May 26, 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.