Active NPI
David M Draney, ARNP
- Nurse Practitioner
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201300508
- Practice address
- 16105 Manchester Rd
Ellisville, MO 63011-2001 - Phone
- (314) 687-2718
- NPI assigned
- Oct 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5762 | KY | |
| Nurse Practitioner | 363L00000X | 201300508 | MO | Primary |
Addresses
Primary practice location
16105 Manchester Rd
Ellisville, MO 63011-2001
Mailing address
PO Box 955534
Saint Louis, MO 63195-1435
Other practice location 1
309 11th St
Carrollton, KY 41008-1435
Phone (502) 732-3272 ext. 4730
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000006593444 | Other | KY | ANTHEM |
| 7100059850 | Medicaid | KY | |
| 3551693000 | Other | KY | PASSPORT ADVANTAGE |
| 50021406 | Other | KY | PASSPORT |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | ddraney102436@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Lincoln County Hospital District
Practice addresses (Care Compare)
110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5762 | KY | MD | General Practice Dentistry |
| 201300508 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Lincoln County Hospital District | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients |
Locations
901 Adams St
Afton, WY 83110
Phone (307) 885-5800
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
Interoperability endpoints
- ddraney625173@direct.ochin.org
Organizations & group practices 2
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.
-
dba Star Valley Medical Center
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
dba Star Valley Medical Center
- Family Medicine Physician
- Afton, WY
- NPI 1730132523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Star Valley Medical Center
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1144471061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631951435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16105 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112001",
"telephone_number": "314-687-2718"
}
],
"practiceLocations": [
{
"address_1": "309 11th St",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "KY",
"postal_code": "410081435",
"country_code": "US",
"telephone_number": "502-732-3272 x4730",
"fax_number": "502-732-3284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRANEY",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "5762",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "201300508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000006593444",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100059850",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3551693000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50021406",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "16105 Manchester Rd",
"city": "Ellisville",
"state": "MO",
"country_code": "US",
"postal_code": "630112001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddraney102436@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ddraney102436@direct-ehr-ssmhc.com",
"address_1": "16105 Manchester Rd",
"city": "Ellisville",
"state": "MO",
"country_code": "US",
"postal_code": "630112001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.