EDNA G GRANGER, R.N. — NPI 1366588337 (Licensed & Credentialed Registered Nurse, General Practice in GAINESVILLE, FL)

CMS-1500 Box 24J / 33a • NPI

1366588337

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WG0000X

Licensed & Credentialed Registered Nurse, General Practice

Box 32 Service Location & ZIP+4

1601 SW ARCHER RD, GAINESVILLE, FL, 32608-1135

✓ 9-Digit EDI 837 ZIP+4 (32608-1135)

Practice Phone & Referral Fax

(352) 376-1611

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366588337 (EDNA G GRANGER, R.N.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366588337` (NPI-1 Individual Practitioner)
Provider / Legal Name	EDNA G GRANGER, R.N.
Plain-English Specialty	Licensed & Credentialed Registered Nurse, General Practice NUCC Code: `163WG0000X` (Registered Nurse, General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1601 SW ARCHER RD, GAINESVILLE, FL, 32608-1135
Practice Telephone / Fax	Tel: (352) 376-1611
Administrative Mailing Address	4830 N.W. 73RD ST, CHIEFLAND, FL, 32626-5301
Enumeration & Last Sync	Enumerated: 2007-01-29 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1601 SW ARCHER RD, GAINESVILLE, FL, 32608-1135

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Plain-English Taxonomy & CMS Crosswalk (163WG0000X)

What Does Taxonomy Code 163WG0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WG0000X translates to:
"Licensed & Credentialed Registered Nurse, General Practice"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (EDNA G GRANGER, R.N.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: FL \| License: `RN9244383` \| Primary: Yes (Primary)
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: VA \| License: `0001053233` \| Primary: Secondary

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EDNA G GRANGER, R.N. (NPI #1366588337)