Individual provider Active NPI

Dana M Hatwig, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • St Johns, FL
National Provider Identifier
1366095564
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11003309 Issued in FL
Practice address
450 State Road 13 Ste 106-493
St Johns, FL 32259-3860
Phone
(904) 517-8900
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11003309 FL Primary

Addresses

Primary practice location

450 State Road 13 Ste 106-493
St Johns, FL 32259-3860

Mailing address

450 State Road 13 N Ste 106-493
St Johns, FL 32259-3860
Phone (904) 517-8900

Other practice location 1

4620 E 53rd St Ste 200
Davenport, IA 52807-3627
Phone (904) 517-8900

Other practice location 2

3707 E Southern Ave
Mesa, AZ 85206-2569
Phone (904) 517-8900

Other practice location 3

170 Commerce Way Ste 200
Portsmouth, NH 03801-3272
Phone (904) 517-8900

Other practice location 4

1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Phone (904) 517-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210210001134 WI Practitioner - Nurse Practitioner 4880009588 Reassigns benefits to 2 organizations
I20211119001519 FL Practitioner - Nurse Practitioner 4880009588 Reassigns benefits to 1 organization
I20250401000323 VA Practitioner - Nurse Practitioner 4880009588

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

St Johns, FL 32259
Phone (904) 517-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003309FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC Current Accepting new patients
Watertown Physician Practices LLC CurrentSince Jan 20, 2021 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Organizations & group practices 4

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1366095564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 N STE 106-493",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593860",
            "telephone_number": "904-517-8900",
            "fax_number": "949-703-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106-493",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593860",
            "telephone_number": "904-517-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4620 E 53rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073627",
            "country_code": "US",
            "telephone_number": "904-517-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062569",
            "country_code": "US",
            "telephone_number": "904-517-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Commerce Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013272",
            "country_code": "US",
            "telephone_number": "904-517-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Central Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014953",
            "country_code": "US",
            "telephone_number": "904-517-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATWIG",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11003309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johns, FL

Sources for this page

Verify at the official NPI Registry.