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GILBERTA SANTANA APRN
NPI 1871946913
Nurse Practitioner - Family in Garland, TX

Active since July 13, 2016PECOS EnrolledAccepts Medicare Assignment
1815 W. CAMPBELL RD, SUITE 1, GARLAND, TX 75044(469) 231-7167(972) 696-0617 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gilberta Santana Aprn NPPES

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

GILBERTA SANTANA APRN (NPI 1871946913) is an individual family provider in Garland, Texas, licensed in Texas (AP131409) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871946913
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGILBERTA SANTANACredential: APRN
Location Address1815 W. CAMPBELL RD, SUITE 1Garland, TX 75044
Mailing Address5806 Indian Hills DrGarland, TX 75044-4248 · (469) 231-4254
Phone(469) 231-7167
Fax(972) 696-0617
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 13, 2016
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1871946913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP131409
1815 W. CAMPBELL RD, Garland, TX 75044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Gilberta Santana Aprn 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 ID9234522350
PECOS Enrollment IDI20220211001305
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 Reassignments

2

Medicare enrollment records show Gilberta Santana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Global Np Healthcare PLLC
Same address
Family
1815 W CAMPBELL RD, STE 01
Garland, TX 75044
  • Reassigned Medicare billing, Texas enrollment
NPI 1033997879 (469) 231-7167
Healthtexas Provider Network
8.3 mi
Family Medicine
1820 PRESTON PARK BLVD STE 1450
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1003811639 (469) 800-4540

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 75044 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 Gilberta Santana's NPI number?

The NPI number for Gilberta Santana is 1871946913. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Gilberta Santana located?

Gilberta Santana practices at 1815 W. Campbell Rd Suite 1, Garland, TX 75044. The listed phone number is (469) 231-7167.

What is Gilberta Santana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gilberta Santana enrolled in Medicare?

Yes. Gilberta Santana 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 Gilberta Santana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberta Santana reassigns Medicare benefits to 2 organizations: Global Np Healthcare PLLC (Garland, TX) and Healthtexas Provider Network (Plano, 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 Gilberta Santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gilberta Santana accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gilberta Santana 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.

When was this NPI record last updated?

The NPPES record for Gilberta Santana was last updated on January 10, 2024. 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.