THERESE DRAPER (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104201755

Psychiatric/Mental Health Nurse Practitioner

THERESE DRAPER (APN) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. APRN.CNP.0029213 (OH). The NPI Number for THERESE DRAPER (APN) is 1104201755

Main info

Female

6 Years Of Experience

Accepts Medicare Assignment

Name

THERESE DRAPER (APN)

NPI

1104201755

Phone

(937) 813-4485

Address

8940 Kingsridge Dr Ste 106

Enumeration Date

24 July 2015

Last Update Date

23 March 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8477558090

Graduation Year

2020 (6 years ago)

PAC ID

9133527393

Group Practice PAC ID

9537062138

Professional Enrollment ID

I20211001002896

Address ID

IL601691016HO1786XBLVD402

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience71

Completeness85

Years active:10State licenses:4Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for THERESE DRAPER (APN)

8940 Kingsridge Dr Ste 106
Dayton, OH 454581632
Phone: (937) 813-4485
Type: Location
142 FAIRFIELD LN
CAROL STREAM, IL 601883064
Phone: (630) 966-4475
Fax: (630) 892-0027
Type: Mailing
1630 PLUM ST
AURORA, IL 605063462
Phone: (630) 966-4475
Fax: (630) 892-0027
Type: Location
1786 MOON LAKE BLVD
HOFFMAN ESTATES, IL 601695029
Phone:
Type: Mailing

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: 2026-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20211001002896	I	Nurse Practitioner	IL	TBD
I20260309000371	I	Nurse Practitioner	OH	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.

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 45458)

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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: 9537062138View full group profile

Name	Specialty	State
THERESA B MIKOSZ (LCPC)	Mental Health Counselor	IL
JOANNE MAGOC (LCSW)	-	IL
ANTHONY F GORRIE (LCPC)	-	IL
MS. SYLVIA GIRON-GILLIANA (APN, NP)	Nurse Practitioner	IL
ERICKA MARIE ORTIZ (LCPC)	Mental Health Counselor	IL
KRISTS KLEGERIS (PMHNP-BC)	Nurse Practitioner	IL
CHRISTEENA CHAKKUMCAL	Nurse Practitioner	IL
MR. DAMIEN DODD (L.C.S.W.)	Clinical Social Worker	IL
MR. KAMLESH BANKER (LCSW)	Clinical Social Worker	IL
MR. BRADLEY THOMAS CRAMER (MSED, LCPC, CCMHC)	Mental Health Counselor	IL

Reviews

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Frequently asked questions

What number should I use to identify THERESE DRAPER (APN) for billing?

Administrative and clinical systems typically use NPI 1104201755 for THERESE DRAPER (APN).

Should I treat THERESE DRAPER (APN) as an active provider?

Patients and plans typically see THERESE DRAPER (APN) as active in the national extract.

What does the directory say THERESE DRAPER (APN) does?

Insurance directories may phrase it differently, but here THERESE DRAPER (APN) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to THERESE DRAPER (APN)?

THERESE DRAPER (APN) is associated with Dayton, Ohio in the same public data insurers reference.

Who maintains THERESE DRAPER (APN)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.