NAKISH DANIELLE GRANT (M.D.) – General Practice Physician, NPI 1023270659

NAKISH DANIELLE GRANT (M.D.) is a healthcare provider. based in St augustine, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME140616 (FL). The NPI Number for NAKISH DANIELLE GRANT (M.D.) is 1023270659

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
NAKISH DANIELLE GRANT (M.D.)
NPI
1023270659
Phone
(708) 227-6253
Address
893 GLENNEYRE CIR
Enumeration Date
25 June 2008
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9043996111
Graduation Year
2008 (18 years ago)
PAC ID
4082864301
Group Practice PAC ID
8123434792
Professional Enrollment ID
I20200113001688
Address ID
FL322164207JA3625XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

Provider Addresses for NAKISH DANIELLE GRANT (M.D.)

  • 893 GLENNEYRE CIR

    ST AUGUSTINE, FL 320921230

    Phone: (708) 227-6253

    Type: Mailing

  • 3625 UNIVERSITY BLVD S

    JACKSONVILLE, FL 322164207

    Phone: (904) 702-6111

    Type: Location

  • 1 Hospital Dr

    DC018.00, MA101

    Columbia, MO 652015276

    Phone: (573) 882-8885

    Fax: (573) 884-4808

    Type: Location

  • University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    DC018.00, MA101

    COLUMBIA, MO 652015276

    Phone: (573) 882-8885

    Fax: (573) 884-4808

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-05-18 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200113001688IAnesthesiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123434792View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Anesthesiology, Critical Care (Intensivists)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY

Reviews

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Frequently asked questions

Can I cross-check NAKISH DANIELLE GRANT (M.D.) using NPI 1023270659?
NPI 1023270659 belongs to NAKISH DANIELLE GRANT (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to NAKISH DANIELLE GRANT (M.D.)?
You should see NAKISH DANIELLE GRANT (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe NAKISH DANIELLE GRANT (M.D.)'s focus?
For NAKISH DANIELLE GRANT (M.D.), the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is NAKISH DANIELLE GRANT (M.D.) registered?
Use St Augustine, Florida as the headline location for NAKISH DANIELLE GRANT (M.D.) here.
When was this NPI issued?
Enumeration for NAKISH DANIELLE GRANT (M.D.) is noted as June 25, 2008 where the registry provides it.

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