Individual provider Active NPI

Dana Pisillo, APRN

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1144113093
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11039020 Issued in FL
Practice address
5951 Cattleridge Ave
Sarasota, FL 34232-6063
Phone
(941) 200-1125
Fax
(941) 200-1126
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11039020 FL Primary

Addresses

Primary practice location

5951 Cattleridge Ave
Sarasota, FL 34232-6063

Mailing address

5951 Cattleridge Ave
Sarasota, FL 34232-6063
Phone (941) 200-1125

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dana.Pisillo@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002050 FL Practitioner - Nurse Practitioner 4385153956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

5951 Cattleridge Ave
Sarasota, FL 34232-9801
Phone (941) 379-1850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

5951 Cattleridge Ave
Ste 100
Sarasota, FL 34232

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

5951 Cattleridge Ave
Sarasota, FL 34232
Phone (941) 379-1703

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

Interoperability endpoints

  • Direct secure messaging: dana.pisillo@img.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1144113093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 CATTLERIDGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326063",
            "telephone_number": "941-200-1125",
            "fax_number": "941-200-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 CATTLERIDGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326063",
            "telephone_number": "941-200-1125",
            "fax_number": "941-200-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISILLO",
        "first_name": "DANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11039020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dana.Pisillo@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5951 Cattleridge Ave Ste 100",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342329802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.