ERIN MARY DRAKE (MSN AGNP-C) – Primary Care Nurse Practitioner, NPI 1205611712

ERIN MARY DRAKE (MSN AGNP-C) is a healthcare provider. based in Hollywood, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN AGNP-C. They hold a License No. APRN11028236 (FL). The NPI Number for ERIN MARY DRAKE (MSN AGNP-C) is 1205611712

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ERIN MARY DRAKE (MSN AGNP-C)
NPI
1205611712
Phone
(866) 986-2263
Address
200 S PARK RD STE 200
Enumeration Date
31 August 2023
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417945657
Graduation Year
2023 (3 years ago)
PAC ID
9234572256
Group Practice PAC ID
2264812791
Professional Enrollment ID
I20240207000868
Address ID
FL342092380BR450XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ERIN MARY DRAKE (MSN AGNP-C)

  • 200 S PARK RD STE 200

    HOLLYWOOD, FL 330218541

    Phone: (866) 986-2263

    Fax: (866) 968-6339

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240207000868INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264812791View full group profile
NameSpecialtyState
Internal Medicine, Hospitalist, Internal MedicineFL
Internal MedicineRI
Internal MedicineNV
Internal Medicine, Internal Medicine, Hospitalist, Family PracticeMA
Hospitalist, Internal Medicine, Geriatric Medicine, Internal MedicinePA
Nurse PractitionerFL
Hospitalist, Internal MedicineIA
Hospitalist, Internal Medicine, Hospitalist, Internal MedicineNY
Internal Medicine, Hospitalist, Internal MedicineNV
Hospitalist, Internal Medicine, Internal MedicineRI

Reviews

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Frequently asked questions

What NPI should I save for ERIN MARY DRAKE (MSN AGNP-C)?
Save NPI 1205611712 if you need a stable reference for ERIN MARY DRAKE (MSN AGNP-C).
Is ERIN MARY DRAKE (MSN AGNP-C)'s NPI currently valid?
The extract we use shows ERIN MARY DRAKE (MSN AGNP-C) as active.
Can you summarize ERIN MARY DRAKE (MSN AGNP-C)'s specialty in plain language?
Clinically, the directory lists ERIN MARY DRAKE (MSN AGNP-C) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ERIN MARY DRAKE (MSN AGNP-C)?
The page summarizes Hollywood, Florida for ERIN MARY DRAKE (MSN AGNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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