Individual provider Active NPI

Jessica Elizabeth Drake, NP

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1457016537
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011804A Issued in IN
Practice address
1711 N 6TH 1/2 St
Terre Haute, IN 47804-2700
Phone
(812) 238-7504
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011804A IN Primary

Addresses

Primary practice location

1711 N 6TH 1/2 St
Terre Haute, IN 47804-2700

Mailing address

1711 N 6TH 1/2 St
Terre Haute, IN 47804-2700
Phone (812) 238-7504

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124000955 IN Practitioner - Nurse Practitioner 3678963121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1711 N
Suite 200
Terre Haute, IN 47804-2766
Phone (812) 242-3610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011804AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Nov 28, 2021 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Nov 28, 2021 Accepting new patients
Imaging Associates of Indiana, PC CurrentSince Nov 9, 2021 Accepting new patients
Center for Ear Nose Throat and Allergy PC PastSince Nov 9, 2021 Accepting new patients

Locations

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14576/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1457016537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N 6TH 1/2 ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042700",
            "telephone_number": "812-238-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N 6TH 1/2 ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042700",
            "telephone_number": "812-238-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011804A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.