Jared Kyle Drake, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA007480 Issued in PA

Practice address

1165 Centre Tpke
Orwigsburg, PA 17961-9343

Phone

(866) 785-8537

NPI assigned

Oct 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gslpg, IncGroup PAC ID 7810226875, 269 clinicians

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger St. Luke's Hospital Hospital, Orwigsburg, PA, CCN 390332
• St Luke's Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment Care Compare group NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD
• Gslpg Inc

  dba Geisinger St. Luke's Orwigsburg Family Practice

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1750848321
  NPD (past)
• St. Luke's Physician Group, Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1447801535
  NPD (past)

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

• GSL Hospital

  • General Acute Care Hospital
  • Orwigsburg, PA
  • NPI 1265096069
  Care Compare affiliation
• The Carbon-Schuylkill Community Hospital, Inc.

  dba St. Luke's Miners Memorial Hospital

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare affiliation

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1437025715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROYALE DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508419",
            "telephone_number": "585-755-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 CENTRE TPKE",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619343",
            "telephone_number": "866-785-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JARED",
        "middle_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067188",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Dicondina
• Amanda Dietz
• Calogero Dimaggio, DO
• Donald Durand Diverio Jr., D.O.
• Lynne M Doctor, M.D.
• Allison Drum, PT
• James R Duncan, PHD
• Kristy Durham, M.S., BSL
• Lisa Ann Eckley, RD, LDN
• Samantha Edmonds

• Physician Assistant in Orwigsburg, PA
• Providers in Orwigsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.