Individual provider Active NPI

Shane D. Draper, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elko, NV
National Provider Identifier
1841272168
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
9903 Issued in NV
Practice address
2078 Idaho St
Elko, NV 89801-2627
Phone
(775) 738-1100
Fax
(775) 738-1101
NPI assigned
Nov 14, 2005
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 9903 NV Primary

Addresses

Primary practice location

2078 Idaho St
Elko, NV 89801-2627

Mailing address

2078 Idaho St
Elko, NV 89801-2627
Phone (775) 738-1100

Other identifiers 4

IdentifierTypeStateIssuer
NV9903OtherNVBCBS OF NV
CC3776OtherNVBS FEDERAL EMP PROGRAM
002104006MedicaidNV
480033493OtherNVPALMETTO RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000968 NV Practitioner - Podiatry 3779514294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt General HospitalGroup PAC ID 5193709798, 41 clinicians
Shane Draper LTDGroup PAC ID 9032393822, 3 clinicians

Practice addresses (Care Compare)

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (775) 623-5222

2078 Idaho St
Elko, NV 89801-2627
Phone (775) 738-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue107
Removal of skin lesions1-10
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Draper LTD Foot & Ankle Surgery CurrentSince Feb 1, 2011 Accepting new patients
Humboldt General Hospital Current Accepting new patients
Sparks Family Hospital Inc PastSince May 4, 2025 Accepting new patients
PHC-Elko Inc Past Accepting new patients
Humboldt General Hospital Past Accepting new patients

Locations

1995 Errecart Blvd
Ste 200
Elko, NV 89801
Phone (775) 738-1100

2078 Idaho St
Elko, NV 89801
Phone (775) 738-1100

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

Interoperability endpoints

  • Direct secure messaging: nwo9092@yourcarecommunity.org
  • Direct secure messaging: shane.draper.p2@direct.elkochc.nextgenshare.com
  • Direct secure messaging: shane@draper.direct.emds.com

Organizations & group practices 5

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 3

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1841272168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2078 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012627",
            "telephone_number": "775-738-1100",
            "fax_number": "775-738-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012627",
            "telephone_number": "775-738-1100",
            "fax_number": "775-738-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "SHANE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "9903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NV",
            "identifier": "NV9903",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS FEDERAL EMP PROGRAM",
            "identifier": "CC3776",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002104006",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD",
            "identifier": "480033493",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.