Individual provider Active NPI

Jeanne P. Ansel, PA

  • Physician Assistant
  • Westerly, RI
National Provider Identifier
1124067178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 00342 Issued in RI
Practice address
25 Wells St
Westerly, RI 02891-2922
Phone
(401) 596-6000
Fax
(401) 348-3710
NPI assigned
Jun 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 00342 RI Primary

Addresses

Primary practice location

25 Wells St
Westerly, RI 02891-2922

Mailing address

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3436CTMDOccupational Therapist
PA 00342RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Lawrence and Memorial Hospital, Inc. Physician Assistant CurrentSince Aug 22, 2023 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Pathology Consultants of New London, P.C. Current Accepting new patients
LMW Healthcare Inc. CurrentSince Jun 1, 2019 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Apr 1, 2017 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

  • Direct secure messaging: jansel329627@direct.ynhh.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124067178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-6000",
            "fax_number": "401-348-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-6000",
            "fax_number": "401-348-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSEL",
        "first_name": "JEANNE",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA 00342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.