Jennifer Drancik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01070362A Issued in IN

Practice address

275 W 12TH St
Peru, IN 46970-1638

Phone

(765) 472-8000

Fax

(260) 479-2917

NPI assigned

Jun 14, 2006

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Angel Hospice Inc Hospice, Kokomo, IN, CCN 151577
• Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• Dukes Memorial Hospital Nursing home, CCN 15Z318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.drancik@lutheranhealthnetwork.cernerdirect.com

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

• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Emergency Medicine of Indiana LLC

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1881969418
  NPD (past)

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

• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949
  Care Compare affiliation
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Peru, IN
  • NPI 1992749691

  Nursing home

  Care Compare affiliation
• Guardian Angel Hospice, Inc.

  • Community Based Hospice Care Agency
  • Kokomo, IN
  • NPI 1841254448
  Care Compare affiliation
• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1114960408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EAST ST",
            "address_2": "P.O. BOX 548",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921914",
            "telephone_number": "260-563-3131",
            "fax_number": "260-569-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 12TH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701638",
            "telephone_number": "765-472-8000",
            "fax_number": "260-479-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N East St",
            "address_2": "Wabash County Hospital",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469921914",
            "country_code": "US",
            "telephone_number": "260-563-3131",
            "fax_number": "260-569-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRANCIK",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01070362A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270190B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "201044240",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.drancik@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "275 W 12th St",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Darland
• Jourdan Alexis Day, PA
• Minda Denny
• Dentures Only P.C.
• Katherine G Derozier
• Dukes Health System LLC (Dukes Memorial Hospital SNF)
• Dukes Health System LLC (Dukes Memorial Hospital)
• Dukes Health System LLC (Dukes Memorial Hospital)
• Dukes Memorial Hospital-Continuing Care Center
• Dukes Physician Services LLC

• Internal Medicine Physician in Peru, IN
• Providers in Peru, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.