Jennifer Ann Frost, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200041045RN Issued in OR

Practice address

1959 NE Diamond Lake Blvd Ste 109
Roseburg, OR 97470-3573

Phone

(541) 492-1780

Fax

(833) 764-4838

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Jennifer Ann Frost

  • Primary Care Nurse Practitioner
  • Roseburg, OR
  • NPI 1942178546
  Medicare reassignment NPD Authorized official
• Cow Creek Band of Umpqua Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1275194359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE DIAMOND LAKE BLVD STE 109",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-492-1780",
            "fax_number": "833-764-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE DIAMOND LAKE BLVD STE 109",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-492-1780",
            "fax_number": "833-764-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200041045RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrsady Maye Franden, RPH, PHARM.D.
• Richard D Frank, NP
• Fred Black MD PC
• Fred Meyer Stores Inc
• Aric Fromdahl
• Alyssa Fujiuchi
• Nancy Marie Fuller, NP
• Aaron Nicholas Fullwiler, LD
• Shelly Robyn Fultz, LPN
• Jacqueline Jill Fummerton, RN

• Family Nurse Practitioner in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.