Individual provider Active NPI

Jennifer Anne Frost, CNP

  • Adult Health Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1063840213
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.14883-NP Issued in OH
Practice address
7225 Old Oak Blvd
Suite A210
Middleburg Heights, OH 44130-3339
Phone
(440) 816-2761
Fax
(440) 816-8065
NPI assigned
Oct 25, 2013
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.14883-NP OH Primary
Gerontology Nurse Practitioner 363LG0600X COA.14883-NP OH

Addresses

Primary practice location

7225 Old Oak Blvd
Suite A210
Middleburg Heights, OH 44130-3339

Mailing address

7225 Old Oak Blvd
Suite A210
Middleburg Heights, OH 44130-3339
Phone (440) 816-2761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131220001668 OH Practitioner - Nurse Practitioner 1759518624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.14883-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc Current Accepting new patients
Southwest General Medical Group Inc. CurrentSince Apr 1, 2016 Accepting new patients
Southwest General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients

Locations

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

Interoperability endpoints

  • Direct secure messaging: jenniferfrostcnp@southwestfamilyphysicians.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1063840213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.14883-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.14883-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.