Individual provider Active NPI

Michelle Draper, FNP-BC

  • Nurse Practitioner
  • Iuka, MS
National Provider Identifier
1457083503
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905397 Issued in MS
Practice address
1413 W Quitman St
Iuka, MS 38852-1130
Phone
(662) 424-9550
Fax
(662) 424-9558
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905397 MS Primary

Addresses

Primary practice location

1413 W Quitman St
Iuka, MS 38852-1130

Mailing address

1413 W Quitman St
Iuka, MS 38852-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220713002832 MS Practitioner - Nurse Practitioner 2769863356 Reassigns benefits to 1 organization
I20250509001819 AL Practitioner - Nurse Practitioner 2769863356 Reassigns benefits to 1 organization
I20260611004417 TN Practitioner - Nurse Practitioner 2769863356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905397MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Medical LLC Current Accepting new patients
Emergency Services of Mobile PC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Webster Health Services, Inc. CurrentSince Jan 28, 2025 Accepting new patients
Webster Health Services, Inc. CurrentSince Jan 28, 2025 Accepting new patients
Avalon Medical LLC CurrentSince Jun 28, 2022 Accepting new patients
Webster Health Services, Inc. Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

1413 W Quitman St
Iuka, MS 38852
Phone (662) 423-6014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5552/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1457083503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130",
            "telephone_number": "662-424-9550",
            "fax_number": "662-424-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.