Active NPI
Jenelle Virginia Chu
- Surgical Physician Assistant
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C09140
- Practice address
- 7211 Bank CT
Frederick, MD 21703-8483 - Phone
- (240) 215-6310
- NPI assigned
- Jul 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5857 | CT | |
| Surgical Physician Assistant | 363AS0400X | C09140 | MD | Primary |
Addresses
Primary practice location
7211 Bank CT
Frederick, MD 21703-8483
Mailing address
9600 Park Ave
Laurel, MD 20723-1851
Phone (301) 979-0824
Other practice location 1
34 Maple St
Norwalk, CT 06850-3815
Phone (203) 852-2000
Other practice location 2
141 Thomas Johnson Dr
Frederick, MD 21702-4502
Phone (301) 846-0100
Other practice location 3
1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310
Other practice location 4
1 Frederick Health Way
Frederick, MD 21701-9435
Phone (240) 215-6310
Other practice location 5
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310
Other practice location 6
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310
Other practice location 7
400 W 7th St
Frederick, MD 21701-4506
Phone (240) 215-6310
Other practice location 8
15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310
Other practice location 9
3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310
Other practice location 10
3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310
Other practice location 11
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310
Other practice location 12
504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310
Other practice location 13
75 Thomas Johnson Dr
Frederick, MD 21702-4895
Phone (240) 215-6310
Other practice location 14
501 W 7th St
Frederick, MD 21701-4586
Phone (240) 215-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212000136 | MD | Practitioner - Physician Assistant | 6800269663 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederick Health Medical Group LLC
Practice addresses (Care Compare)
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310
7211 Bank CT
Frederick, MD 21703-8482
Phone (240) 215-6310
Hospital & facility affiliations
- Frederick Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.07 of 100
- Quality
- 75.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5857 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
| Frederick Health Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
| Frederick Health Medical Group LLC | Multi-Specialty | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1194 Dutchmans Creek Dr
Brunswick, MD 21716
Phone (240) 566-3100
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100
75 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3674
1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812
7211 Bank Ct
Ste 110
Frederick, MD 21703
Phone (301) 418-6611
141 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 620-7478
501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500
194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370
504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452
3000D Ventrie Ct
Myersville, MD 21773
Phone (301) 663-3137
3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
MD, Multi-Specialty
-
- Health Educator
- Frederick, MD
- NPI 1548831894
-
- Family Medicine Physician
- Walkersville, MD
- NPI 1104640671
Multi-Specialty
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
Multi-Specialty
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
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": "1658016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1558096313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 PARK AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231851",
"telephone_number": "301-979-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 BANK CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038483",
"telephone_number": "240-215-6310"
}
],
"practiceLocations": [
{
"address_1": "34 Maple St",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068503815",
"country_code": "US",
"telephone_number": "203-852-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024502",
"country_code": "US",
"telephone_number": "301-846-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1194 Dutchmans Creek Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "MD",
"postal_code": "217169786",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Frederick Health Way",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217019435",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024679",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16403 Old Emmitsburg Rd",
"address_purpose": "LOCATION",
"city": "Emmitsburg",
"state": "MD",
"postal_code": "217278929",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W 7th St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014506",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 E Frederick St",
"address_purpose": "LOCATION",
"city": "Walkersville",
"state": "MD",
"postal_code": "217938234",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000D Ventrie Ct",
"address_purpose": "LOCATION",
"city": "Myersville",
"state": "MD",
"postal_code": "217737817",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3430 Worthington Blvd",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217047017",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1562 Opossumtown Pike",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024920",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 E Ridgeville Blvd",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "MD",
"postal_code": "217715942",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024895",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 W 7th St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014586",
"country_code": "US",
"telephone_number": "240-215-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU",
"first_name": "JENELLE",
"middle_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-17",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "5857",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C09140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.