MARY JEANETTE DRAUCEK (AGACNP) – Family Nurse Practitioner, NPI 1801235817

MARY JEANETTE DRAUCEK (AGACNP) is a healthcare provider. based in Lawrenceville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. RN203207 (GA). The NPI Number for MARY JEANETTE DRAUCEK (AGACNP) is 1801235817

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEANETTE DRAUCEK (AGACNP)
NPI
1801235817
Phone
(770) 995-3300
Address
475 PHILIP BLVD
Enumeration Date
24 June 2013
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7062824200
Graduation Year
2021 (5 years ago)
PAC ID
8022259704
Group Practice PAC ID
8527401777
Professional Enrollment ID
I20130723000145
Address ID
GA305776820TO163XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MARY JEANETTE DRAUCEK (AGACNP)

  • 475 PHILIP BLVD

    STE 100

    LAWRENCEVILLE, GA 300468737

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Mailing

  • 475 Philip Blvd

    STE 100

    Lawrenceville, GA 300468737

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 219-9000

    Type: Location

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: 2013-07-23

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
I20130723000145INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4545$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

MARY JEANETTE DRAUCEK (AGACNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA81002Urinalysis, manual test6246

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: 8527401777View full group profile
NameSpecialtyState
Nurse PractitionerGA
Hospitalist, Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineGA
General PracticeGA
Internal MedicineGA
Nurse PractitionerGA
Hospitalist, Internal MedicineNJ
Internal Medicine, HospitalistGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY JEANETTE DRAUCEK (AGACNP)?
MARY JEANETTE DRAUCEK (AGACNP) — NPI 1801235817 — is the standard way to identify this listing.
Can I rely on MARY JEANETTE DRAUCEK (AGACNP) being an active provider?
As of the registry snapshot, MARY JEANETTE DRAUCEK (AGACNP) is marked active.
What is MARY JEANETTE DRAUCEK (AGACNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MARY JEANETTE DRAUCEK (AGACNP) here. Clinical services aligned with this taxonomy classification.
Where is MARY JEANETTE DRAUCEK (AGACNP) based?
MARY JEANETTE DRAUCEK (AGACNP) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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