Active NPI
Nicole Faye Drahuschak, NP-C
- Nurse Practitioner
- Springfield, OR
National Provider Identifier
1144518788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201901042NP-PP
- Practice address
- 3377 Riverbend Dr
Springfield, OR 97477 - Phone
- (541) 222-6200
- Fax
- (541) 222-6182
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201901042NP-PP | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | R895787 | MS |
Addresses
Primary practice location
3377 Riverbend Dr
Springfield, OR 97477
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253
Other practice location 1
969 Lakeland Dr.
Jackson, MS 39216
Phone (601) 200-4644
Other practice location 2
969 Lakeland Dr.
Jackson, MS 39216
Phone (601) 200-4644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01403841 | Other | MS | RAILROAD MEDICARE |
| 04288876 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402
3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients |
Locations
1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- ndrahuschak421297@direct.peacehealth.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
-
- Birthing Clinic/Center
- Springfield, OR
- NPI 1881860856
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Endocrinology, Diabetes & Metabolism Physician
- Lebanon, OR
- NPI 1518347608
Hospital
-
- Substance Abuse Rehabilitation Facility
- Lebanon, OR
- NPI 1669000865
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1144518788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1253",
"fax_number": "360-729-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97477",
"telephone_number": "541-222-6200",
"fax_number": "541-222-6182"
}
],
"practiceLocations": [
{
"address_1": "969 Lakeland Dr.",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "39216",
"country_code": "US",
"telephone_number": "601-200-4644",
"fax_number": "601-200-4645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "969 Lakeland Dr.",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "39216",
"country_code": "US",
"telephone_number": "601-200-4644",
"fax_number": "601-200-4645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAHUSCHAK",
"first_name": "NICOLE",
"middle_name": "FAYE",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201901042NP-PP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R895787",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01403841",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04288876",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.