Individual provider Active NPI

Ashley Laurel Drake, MD

  • Dermatology Physician
  • Omaha, NE
National Provider Identifier
1700090024
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25720 Issued in NE
Practice address
909 N 96TH St
Suite 201
Omaha, NE 68114-2497
Phone
(402) 330-4555
Fax
(402) 934-0945
NPI assigned
May 9, 2007
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5447 NE
Dermatology Physician 207N00000X 25720 NE Primary

Addresses

Primary practice location

909 N 96TH St
Suite 201
Omaha, NE 68114-2497

Mailing address

909 N 96TH St
Suite 201
Omaha, NE 68114-2497
Phone (402) 330-4555

Other identifiers 2

IdentifierTypeStateIssuer
1700090024MedicaidIA
10025555000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001323 NE Practitioner - Dermatology 2163556606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Dermatology Specialists of Omaha LLCGroup PAC ID 7113018581, 13 clinicians

Practice addresses (Care Compare)

1825 N 205TH St
Dermatology Specialists of Omaha
Elkhorn, NE 68022-4761
Phone (402) 330-4555

909 N 96TH St
Suite 201
Omaha, NE 68114-2508
Phone (402) 330-4555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.86 of 100Reported as group
Quality
46
Improvement activities
40
Cost
91.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1386
Removal or shaving of skin growth31
Skin biopsy232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5447NEMDMental Health Counselor
25720NEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 2, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 2, 2025 Accepting new patients
Dermatology Specialists of Omaha LLC Dermatology CurrentSince Apr 11, 2014 Accepting new patients

Locations

1825 N 205th St
Elkhorn, NE 68022
Phone (402) 330-4555

909 N 96th St
Omaha, NE 68114
Phone (402) 330-4555

909 N 96th St
Ste 201
Omaha, NE 68114
Phone (402) 330-4555

Interoperability endpoints

  • Direct secure messaging: ashleydrake@dsollc.allscriptsdirect.net

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1700090024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N 96TH ST",
            "address_2": "SUITE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142497",
            "telephone_number": "402-330-4555",
            "fax_number": "402-934-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N 96TH ST",
            "address_2": "SUITE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142497",
            "telephone_number": "402-330-4555",
            "fax_number": "402-934-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ASHLEY",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "5447",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "25720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700090024",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025555000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.