WENDI SANTAVICCA (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1801248083

WENDI SANTAVICCA (AGACNP-BC) is a healthcare provider. based in Waterford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 4704219447 (MI). The NPI Number for WENDI SANTAVICCA (AGACNP-BC) is 1801248083

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
WENDI SANTAVICCA (AGACNP-BC)
NPI
1801248083
Phone
(248) 860-8964
Address
3366 Harbours Blvd
Enumeration Date
12 July 2016
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489645000
Graduation Year
2016 (10 years ago)
PAC ID
9739477977
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20161004001437
Address ID
MI480851117TR44201RDXX353

Contacts

Secure Messaging
wsantavicca351747@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for WENDI SANTAVICCA (AGACNP-BC)

  • 3366 Harbours Blvd

    Waterford, MI 483284184

    Phone: (248) 860-8964

    Type: Location

  • 3366, Harbours Boulevard, Waterford Township, Oakland County, Michigan, 48328, United States

    WATERFORD, MI 483284184

    Phone: (248) 860-8964

    Type: Mailing

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1865

    Fax: (947) 522-0307

    Type: Mailing

  • 44250 DEQUINDRE RD

    STERLING HEIGHTS, MI 483141002

    Phone: (855) 863-8761

    Fax: (248) 964-8517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $3,116.

Total Amount is formed as General ($3,116) + Research ($0) + Ownership ($0) = $3,116.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Boston Scientific Corporation ($2,214).

Total Amount

$3,116

General + Research + Ownership

Payments

60

Total payment records

General Amount

$3,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161004001437INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What federal number belongs to WENDI SANTAVICCA (AGACNP-BC)?
The federal identifier for WENDI SANTAVICCA (AGACNP-BC) is NPI 1801248083.
Is WENDI SANTAVICCA (AGACNP-BC) currently active in the NPI registry?
CMS-published data lists WENDI SANTAVICCA (AGACNP-BC) as an active registrant.
Does WENDI SANTAVICCA (AGACNP-BC) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for WENDI SANTAVICCA (AGACNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for WENDI SANTAVICCA (AGACNP-BC)?
The page summarizes Waterford, Michigan for WENDI SANTAVICCA (AGACNP-BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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