MRS. JENNIFER ROSE DRAEGER (OT) – Occupational Therapist, NPI 1376082628
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
507 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for MRS. JENNIFER ROSE DRAEGER (OT)
2400 E Capitol Dr
Appleton, WI 549118728
Phone: (920) 731-4101
Type: Location
PO BOX 2759
APPLETON, WI 549122759
Phone: (920) 830-5900
Fax: (920) 830-5910
Type: Mailing
ThedaCare Medical Center-Waupaca, 800, Riverside Drive, Waupaca, Waupaca County, Wisconsin, 54981, United States
WAUPACA, WI 549811943
Phone: (715) 258-1000
Fax: (715) 258-1632
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 729-2155
Fax: (920) 720-7350
Type: Mailing
130 2ND ST
NEENAH, WI 549562883
Phone: (920) 729-2155
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: 2024-08-12
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240812004066 | I | Occupational Therapist In Private Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54911)
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