JOMARY SANTIAGO ILLAS AGACNP-BC
NPI 1720850167
Nurse Practitioner - Acute Care in Hialeah, FL

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment
395 W 42ND ST, HIALEAH, FL 33012(786) 340-7538 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jomary Santiago Illas Agacnp-bc NPPES

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

JOMARY SANTIAGO ILLAS AGACNP-BC (NPI 1720850167) is an individual acute care provider in Hialeah, Florida, licensed in Florida (11026344) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720850167
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJOMARY SANTIAGO ILLASCredential: AGACNP-BC
Location Address395 W 42ND STHialeah, FL 33012-3914
Mailing Address395 W 42nd StHialeah, FL 33012-3914 · (786) 340-7538
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 28, 2023
NPI 1720850167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · 11026344
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11026344 (FL)
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 11026344 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 11026344 (FL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 11026344 (FL)
395 W 42ND ST, Hialeah, FL 33012

Accepted 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

Jomary Santiago Illas Agacnp-bc 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 ID1850813833
PECOS Enrollment IDI20250319002366
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

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Jomary Santiago Illas's NPI number?

The NPI number for Jomary Santiago Illas is 1720850167. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Jomary Santiago Illas located?

Jomary Santiago Illas practices at 395 W 42nd St, Hialeah, FL 33012. The listed phone number is (786) 340-7538.

What is Jomary Santiago Illas's specialty?

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

Is Jomary Santiago Illas enrolled in Medicare?

Yes. Jomary Santiago Illas 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 Jomary Santiago Illas accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jomary Santiago Illas 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 Jomary Santiago Illas affiliated with any hospitals?

According to CMS data, Jomary Santiago Illas is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Jomary Santiago Illas was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.