Individual provider Active NPI

Dana Leigh Knoll, FNP-BC

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1518460484
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704306315 Issued in MI
Practice address
209 S State St
Ann Arbor, MI 48104-2005
Phone
(866) 389-2727
Fax
(401) 652-0597
NPI assigned
Mar 16, 2018
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0997415 CO
Family Nurse Practitioner 363LF0000X 168146 IA
Family Nurse Practitioner 363LF0000X 1203310 AL
Family Nurse Practitioner 363LF0000X 71902 ID
Family Nurse Practitioner 363LF0000X 114092 NE
Family Nurse Practitioner 363LF0000X 1071814 TX
Family Nurse Practitioner 363LF0000X 219239 AR
Family Nurse Practitioner 363LF0000X 224518 LA
Family Nurse Practitioner 363LF0000X 71012425A IN
Family Nurse Practitioner 363LF0000X 222184 OK
Family Nurse Practitioner 363LF0000X 907304 MS
Family Nurse Practitioner 363LF0000X 4704306315 MI Primary
Family Nurse Practitioner 363LF0000X 851807 NV
Family Nurse Practitioner 363LF0000X 49559 WY

Addresses

Primary practice location

209 S State St
Ann Arbor, MI 48104-2005

Mailing address

209 S State St
Ann Arbor, MI 48104-2005
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, NE, LA, TX, NV, TN, OK8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20180810000426 MI Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220510000360 IN Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220510002119 NE Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220513001540 LA Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220516001148 TX Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220524003007 NV Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 1 organization
I20220601001079 TN Practitioner - Nurse Practitioner 3870841638
I20250609000890 OK Practitioner - Nurse Practitioner 3870841638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1545 N Meridian St
Indianapolis, IN 46202-2306
Phone (866) 389-2727

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1203310ALMDFamily Nurse Practitioner
219239ARMDFamily Nurse Practitioner
0997415COMDFamily Nurse Practitioner
168146IAMDFamily Nurse Practitioner
71902IDMDFamily Nurse Practitioner
71012425AINMDFamily Nurse Practitioner
224518LAMDFamily Nurse Practitioner
907304MSMDFamily Nurse Practitioner
114092NEMDFamily Nurse Practitioner
851807NVMDFamily Nurse Practitioner
222184OKMDFamily Nurse Practitioner
1071814TXMDFamily Nurse Practitioner
49559WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Oklahoma LLC Family CurrentSince Jun 3, 2025 Accepting new patients
Minuteclinic Diagnostic of Louisiana, LLC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jun 3, 2025 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Jul 20, 2018 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince May 1, 2022 Accepting new patients

Locations

1545 N Meridian St
Indianapolis, IN 46202
Phone (317) 663-7123

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743

209 S State St
Ann Arbor, MI 48104
Phone (734) 769-1804

45300 Cherry Hill Rd
Canton, MI 48187
Phone (734) 981-3968

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

3290 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 254-2598

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

1040 SW 19th St
Moore, OK 73160
Phone (405) 794-3001

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dana.knoll@217526021193732.direct.elationemr.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1518460484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042005",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042005",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "DANA",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997415",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "168146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1203310",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71902",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071814",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "219239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012425A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "222184",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306315",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "851807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "49559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.