Active NPI
Jennifer Lynn Frary, PA-C
- Physician Assistant
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 91
- Practice address
- 6500 E 2ND St
Suite 200
Casper, WY 82609-4338 - Phone
- (307) 577-5100
- Fax
- (307) 234-1201
- NPI assigned
- Sep 26, 2005
- Last updated
- Jan 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 91 | WY | Primary |
Addresses
Primary practice location
6500 E 2ND St
Suite 200
Casper, WY 82609-4338
Mailing address
6500 E 2ND St
Suite 200
Casper, WY 82609-4338
Phone (307) 577-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315274 | Other | WY | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 E 2ND St
Casper, WY 82601-2903
Phone (307) 234-6988
150 N Melrose St
Casper, WY 82601-2735
Phone (307) 234-6988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91 | WY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District, | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients |
Locations
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636
Interoperability endpoints
- jfrary@ccmgclinics.gwaydirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Casper, WY
- NPI 1134272917
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
dba Sagebrush ENT
- Otolaryngology Physician
- Gillette, WY
- NPI 1316101405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1609862580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826094338",
"telephone_number": "307-577-5100",
"fax_number": "307-234-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 E 2ND ST",
"address_2": "SUITE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826094338",
"telephone_number": "307-577-5100",
"fax_number": "307-234-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRARY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "91",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "315274",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.