Active NPI
Dana M Hatwig, APRN
- Psychiatric/Mental Health Nurse Practitioner
- St Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11003309
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11003309 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- St Johns, FL
- NPI 1821613506
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.