KRISTAL M SANTIAGO FNP
NPI 1942829411
Nurse Practitioner in Stony Brook, NY

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
100 NICOLLS RD., HSC T12 RM 080, STONY BROOK, NY 11794(631) 444-1116 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2021, Sep 23, 2020, Apr 14, 2020 (3 updates tracked since 2020).

About Kristal M Santiago Fnp NPPES

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

KRISTAL M SANTIAGO FNP (NPI 1942829411) is an individual nurse practitioner in Stony Brook, New York, licensed in New York (F346175-01) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942829411
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTAL M SANTIAGOCredential: FNP
Location Address100 NICOLLS RD., HSC T12 RM 080Stony Brook, NY 11794-1535
Mailing Address557 Elder LnRonkonkoma, NY 11779-6020 · (631) 764-8485
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1942829411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F346175-01
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.
Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License 673328 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 346175 (NY)
100 NICOLLS RD., HSC T12 RM 080, Stony Brook, NY 11794

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

Kristal M Santiago Fnp 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 ID5799192324
PECOS Enrollment IDI20210329000221
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

3

Medicare enrollment records show Kristal Santiago reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
SUNY @ STONY BROOK, HSC, L12, RM 080
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
Internal Medicine
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Medical Services PC
  • 209 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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 Kristal Santiago's NPI number?

The NPI number for Kristal Santiago is 1942829411. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Kristal Santiago located?

Kristal Santiago practices at 100 Nicolls Rd., Hsc T12 Rm 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1116.

What is Kristal Santiago's specialty?

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

Is Kristal Santiago enrolled in Medicare?

Yes. Kristal Santiago 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 Kristal Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Santiago reassigns Medicare benefits to 3 organizations: New York Spine & Brain Surgery, University Faculty Practice Corporatio (Stony Brook, NY), Samaritan Medical Services, P.C. (West Islip, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Kristal Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristal Santiago was last updated on September 28, 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.