Haley N Dragoo-Kraskovic, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1073048 Issued in TX

Practice address

19026 Ridgewood Pkwy Ste 119
San Antonio, TX 78259-5500

Phone

(720) 862-8883

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Haley Nicol Kraskovic Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 14, 2025 through Jan 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1477201788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19026 RIDGEWOOD PKWY STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782595500",
            "telephone_number": "720-862-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19026 RIDGEWOOD PKWY STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782595500",
            "telephone_number": "720-862-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOO-KRASKOVIC",
        "first_name": "HALEY",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1073048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "KRASKOVIC",
            "middle_name": "NICOL",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Hilda T. Draeger, M.D.
• Monica Joy Draeger, LPC ASSOCIATE
• Heather Dragland
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• Edita Dragusin, PT
• Lee Erin Drahl, SLPA
• Drake Eye Care, Professional Association
• Amy D Drake, LCSW
• Rhonda Lee Drake

• Primary Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.