RONALD TERRY DRAPER (NP, CRNA) – Nurse Practitioner, NPI 1013004498

RONALD TERRY DRAPER (NP, CRNA) is a healthcare provider. based in Fillmore, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP, CRNA. They hold a License No. 195011-4406 (UT). The NPI Number for RONALD TERRY DRAPER (NP, CRNA) is 1013004498

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
RONALD TERRY DRAPER (NP, CRNA)
NPI
1013004498
Phone
(435) 253-8000
Address
770 S HIGHWAY 99
Enumeration Date
6 October 2006
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014298000
Graduation Year
2006 (20 years ago)
PAC ID
8921045287
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20140730001207
Address ID
UT846043305PR1055X500X300

Contacts

Secure Messaging
credentialing@reverehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

Provider Addresses for RONALD TERRY DRAPER (NP, CRNA)

  • 770 S HIGHWAY 99

    FILLMORE, UT 846315033

    Phone: (435) 253-8000

    Fax: (435) 655-5213

    Type: Location

  • Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    ATTN CREDENTIALING

    PROVO, UT 846043305

    Phone: (435) 864-3333

    Fax: (435) 864-2790

    Type: Mailing

  • 140, White Sage Avenue, Delta, Millard County, Utah, 84624, United States

    DELTA, UT 846248928

    Phone: (435) 864-3333

    Fax: (435) 864-2790

    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: 2014-07-30

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
I20140730001207INurse PractitionerUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 84631)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

What federal number belongs to RONALD TERRY DRAPER (NP, CRNA)?
The federal identifier for RONALD TERRY DRAPER (NP, CRNA) is NPI 1013004498.
Is RONALD TERRY DRAPER (NP, CRNA)'s NPI currently valid?
The extract we use shows RONALD TERRY DRAPER (NP, CRNA) as active.
What kind of provider is RONALD TERRY DRAPER (NP, CRNA)?
The page reflects Nurse Practitioner for RONALD TERRY DRAPER (NP, CRNA). Clinical services aligned with this taxonomy classification.
What location shows for RONALD TERRY DRAPER (NP, CRNA)?
We surface Fillmore, Utah for RONALD TERRY DRAPER (NP, CRNA) based on available NPPES addresses.
How can I contact RONALD TERRY DRAPER (NP, CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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