Individual provider Active NPI

Jennifer A Frey, FNP

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1619173176
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0000391 Issued in DE
Practice address
560 S Governors Ave
Dover, DE 19904-3523
Phone
(302) 310-8484
Fax
(302) 672-4606
NPI assigned
Jun 22, 2007
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 LG0000391 DE Primary

Addresses

Primary practice location

560 S Governors Ave
Dover, DE 19904-3523

Mailing address

640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 310-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240620001849 DE Practitioner - Nurse Practitioner 5193962017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG0000391DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians, LLC CurrentSince Jun 4, 2024 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

701 N Clayton St
#601
Wilmington, DE 19805
Phone (302) 575-8368

910 Foulk Rd
Wilmington, DE 19803
Phone (302) 477-1536

Interoperability endpoints

  • Direct secure messaging: jennifer.frey.p3@direct.chv.nextgenshare.com

Organizations & group practices 1

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 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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1619173176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-310-8484",
            "fax_number": "302-672-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043523",
            "telephone_number": "302-310-8484",
            "fax_number": "302-672-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.