Individual provider Active NPI

Annie Sprott Drachenberg, M.D.

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1194951707
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0577 Issued in TX
Practice address
1441 Pine St
Abilene, TX 79601-3534
Phone
(325) 672-3252
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01071948A IN
Family Medicine Physician 207Q00000X P0577 TX Primary

Addresses

Primary practice location

1441 Pine St
Abilene, TX 79601-3534

Mailing address

1441 Pine St
Abilene, TX 79601-3534
Phone (325) 672-3252

Other identifiers 1

IdentifierTypeStateIssuer
353060201MedicaidTX

Other names 1

  • Annie Layne Drachenberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151208000750 TX Practitioner - Family Practice 9032358957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1441 Pine St
Abilene, TX 79601-3534
Phone (325) 672-3252

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Paradigm Homecare Home health agency, San Angelo, TX, CCN 747233
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Drachenberg, MD PLLC CurrentSince Nov 15, 2018 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Dec 14, 2015 Accepting new patients
C H Wilkinson Physician Network CurrentSince Dec 14, 2015 Accepting new patients

Locations

1441 Pine St
Abilene, TX 79601
Phone (325) 672-3252

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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.

Hospital & facility affiliations 2

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1194951707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013534",
            "telephone_number": "325-672-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013534",
            "telephone_number": "325-672-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACHENBERG",
        "first_name": "ANNIE",
        "middle_name": "SPROTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01071948A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353060201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "DRACHENBERG",
            "middle_name": "LAYNE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.