MISS JENNIFER LYNN DRAKE (PA-C) – Physician Assistant, NPI 1124044722
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MISS JENNIFER LYNN DRAKE (PA-C)
11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 468451733
Phone: (260) 266-5230
Fax: (260) 266-5238
Type: Location
630 W Maple St
Farmington, NM 874016113
Phone: (505) 609-6349
Fax: (505) 609-6348
Type: Location
1844, Harper Road, Beckley, Raleigh County, West Virginia, 25801, United States
BECKLEY, WV 258013366
Phone: (304) 250-0307
Fax: (304) 250-0384
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: CVRx, Inc. ($36).
Total Amount
$65
General + Research + Ownership
Payments
3
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CVRx, Inc. | $36 |
| Ardelyx, Inc. | $29 |
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: 2020-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040116000040 | I | Physician Assistant | WV | TBD |
| I20190318000706 | I | Physician Assistant | NM | TBD |
| I20200528000213 | I | Physician Assistant | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 158 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 73 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | NM | |
| Internal Medicine, Hospitalist, Internal Medicine | NM | |
| Physician Assistant | TX | |
| - | MN | |
| Clinical Psychologist | TX | |
| - | NM | |
| N E U R O L O G Y | TX | |
| Internal Medicine | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NM |
Reviews
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