Emma Dragovich, APRN
Individual provider Active NPI Nurse Practitioner · Highland, IL
NPI 1912370099 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1912370099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209012730 (IL)
- Practice address
- 12860 Troxler Ave
Highland, IL 62249-2898 - Phone
- (618) 651-2810
- Fax
- (618) 651-0077
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HSHS Medical Group Inc
St Josephs Hospital of the Hospital Sisters of the Third Order of St F
Practice addresses (Care Compare)
12860 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2810
12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160112002572 | IL | Practitioner - Nurse Practitioner | 5294037966 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209012730 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current |
Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Litchfield Family Practice Center | Current |
Accepting new patients | |
| HSHS Medical Group Inc | Current |
Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
12860 Troxler Ave
Highland, IL 62249
Phone (618) 235-3687
1285 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-1035
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209012730 | IL | Yes |
Addresses
Primary practice location
12860 Troxler Ave
Highland, IL 62249-2898
Mailing address
12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 651-2810
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edragovich160136@ewd.direct.hshs.org | Direct |
Other providers in Highland, IL
- Lisa Anne Dole
- Barbara Donahue
- Dr James L Rehberger PC
- Dr John Kleinhoffer PC
- Dr. Kimberly D. Haug, PC
- Droege and Santel PLLC
- Anastasia Marie Dufner
- Sara Ann Duncan
- Ear, Nose & Throat Institute of Southern Illinois LTD.
- Early Intervention Services, Inc.
All providers in Highland, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.