Jeanne P. Ansel, PA
Individual provider Active NPI Physician Assistant · Westerly, RI
NPI 1124067178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124067178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA 00342 (RI)
- Practice address
- 25 Wells St
Westerly, RI 02891-2922 - Phone
- (401) 596-6000
- Fax
- (401) 348-3710
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060606000317 | RI | Practitioner - Physician Assistant | 5890706980 | Reassigns benefits to 2 organizations |
| I20151123001872 | CT | Practitioner - Physician Assistant | 5890706980 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 00342 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Consultants of New London, P.C. | Current | Accepting new patients | |
| LMW Healthcare Inc. | Physician Assistant | Current |
Accepting new patients |
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients | |
| Lawrence and Memorial Hospital, Inc. | Physician Assistant | Current |
Accepting new patients |
| Lawrence and Memorial Hospital, Inc. | Current |
Accepting new patients |
Locations
23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907
194 Howard St
New London, CT 06320
Phone (860) 442-0564
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
25 Wells St
Westerly, RI 02891
Phone (401) 348-3325
45 East Ave
Westerly, RI 02891
Phone (401) 596-6000
Interoperability endpoints
- jansel329627@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 00342 | RI | Yes |
Addresses
Primary practice location
25 Wells St
Westerly, RI 02891-2922
Mailing address
25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000
Other providers in Westerly, RI
- Amato Medical Associates, LLC
- Diana M Anderson
- Maeve Elizabeth Anderson
- Rocco Joseph Andreozzi
- Anesthesia Associates of Westerly
- Anthony C. Dimaio DDS. Inc.
- Antonio J. Mattero, D.D.S. Inc.
- Courtney Araujo
- Molly Arruda
- Atlantic Medical Group Inc.
All providers in Westerly, RI · Physician Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.