Active NPI
Jenna Nichole Frakowski, D.O.
- Family Medicine Physician
- Millersburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.013988
- Practice address
- 1261 Wooster Rd
Millersburg, OH 44654 - Phone
- (330) 674-3333
- NPI assigned
- Aug 17, 2016
- Last updated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 5101022879 | MI | |
| Family Medicine Physician | 207Q00000X | 34.013988 | OH | Primary |
Addresses
Primary practice location
1261 Wooster Rd
Millersburg, OH 44654
Mailing address
1261 Wooster Rd
Millersburg, OH 44654-1568
Phone (330) 674-3333
Other practice location 1
4900 Oak Street
Berlin, OH 44610
Phone (330) 893-1318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101022879 | Other | MI | MI MEDICAL LICENSE |
Other names 1
- Jenna Nichole Hilty
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.013988 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients |
Locations
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
5570 State St
Saginaw, MI 48603
Phone (989) 583-0100
Interoperability endpoints
- jenna.frakowski@962544197435396.direct.elationemr.com
- jennafrakowski@hphc.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pomerene Family Care | Rural health clinic | Corporate Officer W-2 Managing Employee |
Nov 1, 2020 Nov 1, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Loudonville, OH
- NPI 1144827478
Corporate Officer, W-2 Managing Employee
Organizations & group practices 6
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.
-
dba Pomerene OB/GYN Services
- Specialist
- Sugarcreek, OH
- NPI 1083897060
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
dba Pomerene Medical Group
- Primary Care Clinic/Center
- Millersburg, OH
- NPI 1083897987
-
- Rural Health Clinic/Center
- Loudonville, OH
- NPI 1144827478
-
dba Pomerene Medical Center East
- Urgent Care Clinic/Center
- Millersburg, OH
- NPI 1528726296
-
- Rural Health Clinic/Center
- Millersburg, OH
- NPI 1790215614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1356896526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541568",
"telephone_number": "330-674-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 WOOSTER RD",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "44654",
"telephone_number": "330-674-3333"
}
],
"practiceLocations": [
{
"address_1": "4900 Oak Street",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "OH",
"postal_code": "44610",
"country_code": "US",
"telephone_number": "330-893-1318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAKOWSKI",
"first_name": "JENNA",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101022879",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.013988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAL LICENSE",
"identifier": "5101022879",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "HILTY",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.