Individual provider Active NPI

Jennifer Amanda Frost, FNP

  • Family Nurse Practitioner
  • Howard, OH
National Provider Identifier
1508424003
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024686 Issued in OH
Practice address
460 Grand Ridge Dr
Howard, OH 43028-8410
Phone
(740) 504-1895
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024686 OH Primary

Addresses

Primary practice location

460 Grand Ridge Dr
Howard, OH 43028-8410

Mailing address

460 Grand Ridge Dr
Howard, OH 43028-8410
Phone (740) 504-1895

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812003524 OH Practitioner - Nurse Practitioner 6002232774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Recovery Center, LLC Current Accepting new patients
Theoria Medical CurrentSince Sep 1, 2020 Accepting new patients
Premier Services of Michigan, LLC CurrentSince Aug 5, 2019 Accepting new patients
Quest Recovery Center, LLC CurrentSince Sep 6, 2022 Accepting new patients
Klinic Medical PLLC Past Accepting new patients

Locations

3094 W Market St
Ste 360
Fairlawn, OH 44333
Phone (614) 987-8847

112 Harcourt Rd
Ste 2
Mount Vernon, OH 43050
Phone (614) 314-4568

6830 N High St
Worthington, OH 43085
Phone (614) 252-4931

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1508424003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GRAND RIDGE DR",
            "city": "HOWARD",
            "state": "OH",
            "postal_code": "430288410",
            "telephone_number": "740-504-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GRAND RIDGE DR",
            "city": "HOWARD",
            "state": "OH",
            "postal_code": "430288410",
            "telephone_number": "740-504-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JENNIFER",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard, OH

Sources for this page

Verify at the official NPI Registry.