Individual provider Active NPI

Jenna Nichole Frakowski, D.O.

  • Family Medicine Physician
  • Millersburg, OH
National Provider Identifier
1356896526
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013988 Issued in OH
Practice address
1261 Wooster Rd
Millersburg, OH 44654
Phone
(330) 674-3333
NPI assigned
Aug 17, 2016
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5101022879OtherMIMI MEDICAL LICENSE

Other names 1

  • Jenna Nichole Hilty Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925000892 OH Practitioner - Family Practice 8224399282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.013988OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: jenna.frakowski@962544197435396.direct.elationemr.com
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Pomerene Family CareLoudonville, OH, CCN 363876 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.

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.

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

Verify at the official NPI Registry.