Individual provider Active NPI

Dana Hutchison Granberg-Nill, M.D.

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1336103522
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
115861 Issued in MO
Practice address
8805 Tamiami TRL N # 565
Naples, FL 34108-2525
Phone
(239) 441-4249
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 115861 MO Primary

Addresses

Primary practice location

8805 Tamiami TRL N # 565
Naples, FL 34108-2525

Mailing address

8805 Tamiami TRL N # 565
Naples, FL 34108-2525

Other identifiers 1

IdentifierTypeStateIssuer
115861OtherMOSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 15, 2021 through Nov 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115861MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Family Care, P.C. Family Medicine CurrentSince Jun 1, 1992 Accepting new patients
Marion Pain Center, LLC Past Accepting new patients

Locations

9151 NE 81st Ter
Ste 100
Kansas City, MO 64158
Phone (816) 781-4740

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1336103522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 TAMIAMI TRL N # 565",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 TAMIAMI TRL N # 565",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525",
            "telephone_number": "239-441-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERG-NILL",
        "first_name": "DANA",
        "middle_name": "HUTCHISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "115861",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.