Matthew T Drakas, NP
Individual provider Active NPI Family Nurse Practitioner · Boscobel, WI
NPI 1003660945 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1003660945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 15422 (WI)
- Practice address
- 205 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-4112
- NPI assigned
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Boscobel
Practice addresses (Care Compare)
208 Parker St
Boscobel, WI 53805-1648
Phone (608) 375-2424
525 N Wisconsin Ave
Muscoda, WI 53573-9251
Phone (608) 739-3138
Hospital & facility affiliations
- Gundersen Boscobel Area Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240817000096 | WI | Practitioner - Nurse Practitioner | 7012455389 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248849-30 | WI | MD | General Practice Registered Nurse |
| 15422 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Past | Accepting new patients |
Locations
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
208 Parker St
Boscobel, WI 53805
Phone (608) 375-2424
220 Lincoln Ave
Fennimore, WI 53809
Phone (608) 822-3737
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- mdrakas889458@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 248849-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | 15422 | WI | Yes |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805-1642
Mailing address
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112
Other providers in Boscobel, WI
- Burton Dale Cox Jr.
- Jonathan R Demory
- Barbara L Dewitt
- Dr Michael S Mecikalski SC
- Carley A Drakas
- Ann Drayman
- Sydney Dressler
- Johnathan Grady Easterling
- Brad L Ecklor
- Heather Engh
All providers in Boscobel, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.