Individual provider Active NPI

Jennifer Kristine Frascone, P.A.-C

  • Physician Assistant
  • Greenwich, CT
National Provider Identifier
1639488745
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002476 Issued in CT
Practice address
81 Holly Hill LN FL 2
Greenwich, CT 06830-6071
Phone
(203) 792-0400
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 002476 CT Primary

Addresses

Primary practice location

81 Holly Hill LN FL 2
Greenwich, CT 06830-6071

Mailing address

84 Hospital Ave
Danbury, CT 06810-9001
Phone (203) 792-0400

Other names 1

  • Jennifer Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110408000703 CT Practitioner - Physician Assistant 5092999409 Reassigns benefits to 1 organization
I20180207000728 NY Practitioner - Physician Assistant 5092999409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

81 Holly Hill LN
FL 2
Greenwich, CT 06830-6071
Phone (203) 792-0400

84 Hospital Ave
Danbury, CT 06810-6047
Phone (203) 792-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014757NYMDPsychologist
002476CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Care, LLC CurrentSince Apr 24, 2019 Accepting new patients
Southington Urgent Care Past Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients

Locations

84 Hospital Ave
Danbury, CT 06810
Phone (203) 792-0400

81 Holly Hill Ln
Fl 2
Greenwich, CT 06830
Phone (203) 321-5063

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.

Hospital & facility affiliations 2

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1639488745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068109001",
            "telephone_number": "203-792-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HOLLY HILL LN FL 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306071",
            "telephone_number": "203-792-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASCONE",
        "first_name": "JENNIFER",
        "middle_name": "KRISTINE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YOUNG",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.