Active NPI
Jennifer Marie Frey, CNP
- Family Nurse Practitioner
- Forest, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028663
- Practice address
- 112 E Lima St
Forest, OH 45843-1116 - Phone
- (419) 731-5104
- Fax
- (419) 731-5106
- NPI assigned
- May 7, 2021
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028663 | OH | Primary |
Addresses
Primary practice location
112 E Lima St
Forest, OH 45843-1116
Mailing address
Wyandot Memorial Hospital
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone (419) 294-4991
Other practice location 1
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone (419) 294-5757
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfrey805762@direct.mercy.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone 41929449912157
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandot Memorial Hospital | Current | Accepting new patients | |
| Wyandot Memorial Hospital | Current | Accepting new patients | |
| Wyandot Memorial Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
112 E Lima St
Forest, OH 45843
Phone (419) 273-5104
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
Interoperability endpoints
- jfrey804420@direct.bsmhealth.org
- jfrey805762@direct.mercy.com
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Upper Sandusky, OH
- NPI 1477554475
-
dba Wyandot Medical Providers at Carey
- Rural Health Clinic/Center
- Carey, OH
- NPI 1659014728
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Wyandot Medical Providers at Sycamore
- Rural Health Clinic/Center
- Sycamore, OH
- NPI 1275033011
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blanchard Valley Hospital
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- Critical Access Hospital
- Upper Sandusky, OH
- NPI 1477554475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700460516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WYANDOT MEMORIAL HOSPITAL",
"address_2": "885 N SANDUSKY AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511098",
"telephone_number": "419-294-4991",
"fax_number": "419-209-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E LIMA ST",
"city": "FOREST",
"state": "OH",
"postal_code": "458431116",
"telephone_number": "419-731-5104",
"fax_number": "419-731-5106"
}
],
"practiceLocations": [
{
"address_1": "885 N Sandusky Ave",
"address_purpose": "LOCATION",
"city": "Upper Sandusky",
"state": "OH",
"postal_code": "433511098",
"country_code": "US",
"telephone_number": "419-294-5757",
"fax_number": "419-294-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREY",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0028663",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfrey805762@direct.mercy.com",
"affiliation": "N",
"address_1": "885 N Sandusky Ave",
"city": "Upper Sandusky",
"state": "OH",
"country_code": "US",
"postal_code": "433511098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.