Individual provider Active NPI

Heather C Drager, PA C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1467475558
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
NM2001-PA21 Issued in NM
Practice address
9201 Montgomery Blvd NE Ste 301
Albuquerque, NM 87111-2467
Phone
(505) 717-1076
NPI assigned
Jul 26, 2006
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA053 NM
Medical Physician Assistant 363AM0700X NM2001-PA21 NM Primary

Addresses

Primary practice location

9201 Montgomery Blvd NE Ste 301
Albuquerque, NM 87111-2467

Mailing address

4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

Other practice location 1

4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

Other names 1

  • Heather Lee Capps-Drager Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040407000589 NM Practitioner - Physician Assistant 6507859238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elemental Health and Wellness Center LLCGroup PAC ID 0446481881, 12 clinicians
Southwest Gastroenterology AssociatesGroup PAC ID 2062316086, 27 clinicians

Practice addresses (Care Compare)

4425 Juan Tabo Blvd NE
Suite 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone (505) 999-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
87302NMMDFamily Medicine Physician
PA053NMMDPhysician Assistant
NM2001-PA21NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Health System LLC CurrentSince Oct 1, 2003 Accepting new patients

Locations

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1467475558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JUAN TABO BLVD NE STE 112",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112684",
            "telephone_number": "505-503-6800",
            "fax_number": "505-884-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112467",
            "telephone_number": "505-717-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 Juan Tabo Blvd NE Ste 112",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112684",
            "country_code": "US",
            "telephone_number": "505-503-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGER",
        "first_name": "HEATHER",
        "middle_name": "C",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA053",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "NM2001-PA21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CAPPS-DRAGER",
            "middle_name": "LEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.