TANA MCDANIEL (NP) – Family Nurse Practitioner, NPI 1679465645

TANA MCDANIEL (NP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11040973 (FL). The NPI Number for TANA MCDANIEL (NP) is 1679465645

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TANA MCDANIEL (NP)
NPI
1679465645
Phone
(352) 263-7474
Address
1827 MOUNT VERNON DR
Enumeration Date
16 July 2025
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045675338
Graduation Year
2025 (1 year ago)
PAC ID
2466952205
Group Practice PAC ID
7517336431
Professional Enrollment ID
I20250825004278
Address ID
FL322165488JA4540XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TANA MCDANIEL (NP)

  • 1827 MOUNT VERNON DR

    JACKSONVILLE, FL 322101253

    Phone: (352) 263-7474

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-25

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
I20250825004278INurse PractitionerFLTBD

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 32210)

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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: 7517336431View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerIN
Family PracticeFL

Reviews

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Frequently asked questions

What is TANA MCDANIEL (NP)'s NPI number?
TANA MCDANIEL (NP)'s NPI is 1679465645 — the number used across U.S. healthcare to identify this provider.
Would TANA MCDANIEL (NP) appear as active to a payer?
You can treat TANA MCDANIEL (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TANA MCDANIEL (NP)'s focus?
For TANA MCDANIEL (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TANA MCDANIEL (NP)?
Travel planning: use Jacksonville, Florida as the reference point for TANA MCDANIEL (NP), then confirm.
When was this NPI issued?
Enumeration for TANA MCDANIEL (NP) is noted as July 16, 2025 where the registry provides it.

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