Individual ProviderSarah DrakeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address333 N Santa Rosa, San Antonio, TX 78207-3108(210) 704-4841(210) 704-4275PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Drake is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609561000Provider TypeIndividualFull NameDrake, SarahCredentialDNP, APRN, FNP-BCGenderFemaleSole ProprietorYesEnumeration Date4/10/2023Last Updated5/6/2023Contact InformationPractice LocationPractice Address333 N Santa Rosa, San Antonio, TX 78207-3108Phone(210) 704-4841FaxUnlisted FaxMailing LocationMailing Address315 N San Saba Ste 1135, San Antonio, TX 78207-3255Phone(210) 704-4275FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1112658TexasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense880531Texas