Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Jennifer Lynn Drake, PA-C

Individual provider Physician Assistant · NPI 1124044722

Miss. Jennifer Lynn Drake, PA-C is a Physician Assistant in Beckley, West Virginia. Qualified in 2003, 23 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, New Mexico and West Virginia.

Years since qualifying
23
Licensed in
IN, NM, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1844 Harper Rd
Beckley, WV 25801
Phone: (304) 250-0307
Fax: (304) 250-0384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 — (260) 266-5230
  • 630 W Maple St, Farmington, NM 87401-6113 — (505) 609-6349

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002493A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 01041 (WV)
Physician Assistant Taxonomy 363A00000X · Licence PA2019-0006 (NM)

Record details

NPI number1124044722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Beckley