Individual provider Active NPI

Jennifer Mayra Frandsen

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1780257535
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A164109 Issued in IA
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 421-0500
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A164109 IA
Family Nurse Practitioner 363LF0000X A164109 IA Primary

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

2709 E 58TH St
Davenport, IA 52807-3540
Phone (563) 343-8294

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address frandsenj@genesishealth.com Direct
Direct Messaging Address jennifer.frandsen@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20211102002520 IA Practitioner - Nurse Practitioner 1951799402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians
Quad City Physical Therapy and SpineGroup PAC ID 1850332651, 29 clinicians

Practice addresses (Care Compare)

1345 W Central Park Ave
Mercyone Genesis Family Medical Cen
Davenport, IA 52804-1844
Phone (563) 421-4400

5254 Utica Ridge Rd
Davenport, IA 52807-3872
Phone (563) 359-3799

619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487

Hospital & facility affiliations

  • Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A164109IAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.frandsen@direct.genesishealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1780257535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 E 58TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073540",
            "telephone_number": "563-343-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-421-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANDSEN",
        "first_name": "JENNIFER",
        "middle_name": "MAYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A164109",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frandsenj@genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1820 W 3rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528021812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.frandsen@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1820 W 3rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528021812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.