KELLY ANNE SANTOS – Family Nurse Practitioner, NPI 1528602158

KELLY ANNE SANTOS is a healthcare provider. based in Feasterville trevose, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP020008 (PA). The NPI Number for KELLY ANNE SANTOS is 1528602158

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANNE SANTOS
NPI
1528602158
Phone
(215) 913-7748
Address
308 CRESTWOOD AVE
Enumeration Date
6 November 2019
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156626698
Graduation Year
2018 (8 years ago)
PAC ID
6305270695
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20191219000548
Address ID
PA191044238PH3400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KELLY ANNE SANTOS

  • 308 CRESTWOOD AVE

    FEASTERVILLE TREVOSE, PA 190532419

    Phone: (215) 913-7748

    Type: Mailing

  • 3485 DAVISVILLE RD

    HATBORO, PA 190404220

    Phone: (215) 830-0400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-12-19

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
I20191219000548INurse PractitionerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6362$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99213Established patient office or other outpatient visit, 20-29 minutes3736$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
81003Automated urinalysis test1514$0
View full utilization report →

Insurance plans in this area (ZIP 19053)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What identifier follows KELLY ANNE SANTOS across health systems?
The NPI 1528602158 uniquely identifies KELLY ANNE SANTOS in U.S. healthcare data.
Should I treat KELLY ANNE SANTOS as an active provider?
Patients and plans typically see KELLY ANNE SANTOS as active in the national extract.
What type of care does KELLY ANNE SANTOS provide?
KELLY ANNE SANTOS's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLY ANNE SANTOS?
KELLY ANNE SANTOS is associated with Feasterville Trevose, Pennsylvania in the same public data insurers reference.
Can I export KELLY ANNE SANTOS's record?
You can download the official NPPES record; we summarize key fields for readability.

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