Individual provider Active NPI

Jennifer Lynn Czinsky, P.A.

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1861769523
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001003230 Issued in NC
Practice address
2105 Braxton LN Ste 101
Greensboro, NC 27408-2862
Phone
(336) 333-6306
Fax
(336) 333-6309
NPI assigned
Nov 23, 2011
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 001003230 NC Primary

Addresses

Primary practice location

2105 Braxton LN Ste 101
Greensboro, NC 27408-2862

Mailing address

2105 Braxton LN Ste 101
Greensboro, NC 27408-2862
Phone (336) 333-6306

Other practice location 1

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 774-0040

Other practice location 2

4590 Premier Dr
High Point, NC 27265-8193
Phone (336) 333-6306

Other practice location 3

2337 Winterhaven Ln
Winston Salem, NC 27103-6792
Phone (336) 774-0044

Other practice location 4

216 Moore Rd
King, NC 27021-8703
Phone (336) 983-4346

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jczinsky420610@direct.novanthealth.org
Direct Messaging Address jennifer.czinsky.pi@direct.sss.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130412000570 NC Practitioner - Physician Assistant 3274779483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solas Health PLLCGroup PAC ID 7315915469, 13 clinicians

Practice addresses (Care Compare)

285 Olmsted Blvd
Pinehurst, NC 28374-9021
Phone (910) 295-7246

Merit-based Incentive Payment System (MIPS)

Final score
87.4 of 100Reported as group
Quality
87.24
Improvement activities
40
Cost
75.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001003230NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Apr 1, 2019 Accepting new patients
Wake Forest Health Network LLC CurrentSince Apr 1, 2019 Accepting new patients
Pinehurst OBGYN Associates PA Past Accepting new patients

Locations

4590 Premier Dr
High Point, NC 27265
Phone (336) 333-6306

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

Interoperability endpoints

  • Direct secure messaging: jczinsky420610@direct.novanthealth.org
  • Direct secure messaging: jennifer.czinsky.p1@direct.sss.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1861769523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082862",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BRAXTON LN STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082862",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27103",
            "country_code": "US",
            "telephone_number": "336-774-0040",
            "fax_number": "336-774-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4590 Premier Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658193",
            "country_code": "US",
            "telephone_number": "336-333-6306",
            "fax_number": "336-333-6309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2337 Winterhaven Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036792",
            "country_code": "US",
            "telephone_number": "336-774-0044",
            "fax_number": "336-277-4349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218703",
            "country_code": "US",
            "telephone_number": "336-983-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZINSKY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jczinsky420610@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Oaks Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.czinsky.pi@direct.sss.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2105 Braxton Ln Ste 101",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274082862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.