Individual provider Active NPI

Denise Sharon McClure-Drabick, CRNA, ARNP,BA ,RN

  • Certified Registered Nurse Anesthetist
  • Fernandina Beach, FL
National Provider Identifier
1023083847
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9187995 Issued in FL
Practice address
1709 Lake Park Dr
Fernandina Beach, FL 32034-1942
Phone
(904) 557-8101
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-118994 NA-03139 OH
Certified Registered Nurse Anesthetist 367500000X 213978 NC
Certified Registered Nurse Anesthetist 367500000X 209729 GA
Certified Registered Nurse Anesthetist 367500000X 9187995 FL Primary
Certified Registered Nurse Anesthetist 367500000X 201042814 OR
Certified Registered Nurse Anesthetist 367500000X 178000 TN
Certified Registered Nurse Anesthetist 367500000X RN-790152/CRNA-4035 CA

Addresses

Primary practice location

1709 Lake Park Dr
Fernandina Beach, FL 32034-1942

Mailing address

1709 Lake Park Dr
Fernandina Beach, FL 32034-1942
Phone (904) 321-1630

Other identifiers 3

IdentifierTypeStateIssuer
G3280OtherFLBC/BS OF FLORIDA #G3280
309088400MedicaidFL
771334230MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100712000730 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173655081 Reassigns benefits to 1 organization
I20101028000231 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173655081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400

Hospital & facility affiliations

  • Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-790152/CRNA-4035CAMDCertified Registered Nurse Anesthetist
9187995FLMDCertified Registered Nurse Anesthetist
209729GAMDCertified Registered Nurse Anesthetist
RN-118994 NA-03139OHMDCertified Registered Nurse Anesthetist
201042814ORMDCertified Registered Nurse Anesthetist
178000TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Corrective Surgery of the Foot & Ankle, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Oct 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2011 Accepting new patients
Southeast Georgia Anesthesia LLC CurrentSince Jul 20, 2010 Accepting new patients
Patriot Anesthesia LLC CurrentSince Apr 1, 2017 Accepting new patients
North Florida Anesthesia Consultants, Inc. Past Accepting new patients
Amsol Anesthetists of Ohio, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

410 Darling Ave
Waycross, GA 31501
Phone (912) 283-3030

2003 Alice St
Ste 2003B
Waycross, GA 31501
Phone (912) 490-3338

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1023083847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LAKE PARK DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341942",
            "telephone_number": "904-321-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LAKE PARK DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341942",
            "telephone_number": "904-557-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE-DRABICK",
        "first_name": "DENISE",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "CRNA, ARNP,BA ,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-118994  NA-03139",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "213978",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "209729",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9187995",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201042814",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "178000",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "RN-790152/CRNA-4035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA #G3280",
            "identifier": "G3280",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309088400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771334230",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.