Individual provider Active NPI

Audrey Drake, NP

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1093547291
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10028466 Issued in OR
Practice address
441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744
Phone
(541) 768-4950
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10028466 OR Primary

Addresses

Primary practice location

441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744

Mailing address

441 NW Elks Dr
Corvallis, OR 97330-3744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adrake304843@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000493 OR Practitioner - Nurse Practitioner 5193266898 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

1086 7TH Ave SW
Albany, OR 97321-1997

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

441 NW Elks Dr
Corvallis, OR 97330-3744

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Sep 30, 2024 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Sep 30, 2024 Accepting new patients
Albany General Hospital CurrentSince Sep 30, 2024 Accepting new patients
Albany General Hosptial CurrentSince Sep 30, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 30, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 18, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Sep 30, 2024 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 30, 2024 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Sep 30, 2024 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

441 NW Elks Dr
Ste 100
Corvallis, OR 97330
Phone (541) 768-4950

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

441 NW Elks Dr
Corvallis, OR 97330
Phone (541) 768-4950

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: adrake304843@samhealth.direct-ci.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1093547291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW ELKS DR STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303744",
            "telephone_number": "541-768-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "AUDREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10028466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adrake304843@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "441 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.