NPIMap

Individual provider Active NPI

Jennifer S Fronda, PA

  • Physician Assistant
  • Elverson, PA
National Provider Identifier
1487935441
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002710 Issued in PA
Practice address
4103 Main St
Elverson, PA 19520-9378
Phone
(610) 286-9064
Fax
(610) 286-7832
NPI assigned
Sep 6, 2011
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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 OA002710 PA Primary

Addresses

Primary practice location

4103 Main St
Elverson, PA 19520-9378

Mailing address

PO Box 488
Morgantown, PA 19543-0488
Phone (610) 286-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000114 PA Practitioner - Physician Assistant 6103097019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Focusedhealth PCGroup PAC ID 0244207322, 4 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4103 Main St
Elverson, PA 19520-9378
Phone (610) 286-9064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002710PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focusedhealth PC CurrentSince Sep 1, 2011 Accepting new patients

Locations

4103 Main St
Elverson, PA 19520
Phone (610) 286-9064

Organizations & group practices 2

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1487935441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195430488",
            "telephone_number": "610-286-9064",
            "fax_number": "610-826-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MAIN ST",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209378",
            "telephone_number": "610-286-9064",
            "fax_number": "610-286-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONDA",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elverson, PA

Sources for this page

Verify at the official NPI Registry.